Desmond Eugene Yanamayu, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1600280 Issued in OH

Practice address

13110 Shaker SQ Ste C-200F
Cleveland, OH 44120

Phone

(330) 518-4863

NPI assigned

Nov 8, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Desmond Eugene Harrison Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23610/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Black Mental Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
  • NPI 1679053664
  Medicare reassignment NPD Authorized official
• The Black Mental Health Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1679140040
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437403698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 EMERSON RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213929",
            "telephone_number": "330-518-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 SHAKER SQ STE C-200F",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "330-518-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Mercer St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161014672",
            "country_code": "US",
            "telephone_number": "724-656-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANAMAYU",
        "first_name": "DESMOND",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247553",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESMOND",
            "last_name": "HARRISON",
            "middle_name": "EUGENE",
            "prefix": "MR.",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Yan
• Maohe Yan, M.D.
• Xuhui Yan
• Brooke Yanai, SWT
• Nicholle Yanak
• Amy J Yancey
• Elena Marie Yanchar, DO
• Curtis Steve Yancy
• April D Yandrich, LISW
• Stacey Yanetta

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.