Individual provider Active NPI

Letitia Vonise Young, LSW, LICDC

  • Clinical Social Worker
  • Garfield Heights, OH
National Provider Identifier
1447778857
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1904578 Issued in OH
Practice address
6350 Hathaway Rd Apt 2
Garfield Heights, OH 44125-4961
Phone
(216) 253-5825
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X S.1904578 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162015 OH

Addresses

Primary practice location

6350 Hathaway Rd Apt 2
Garfield Heights, OH 44125-4961

Mailing address

6350 Hathaway Rd Apt 2
Garfield Heights, OH 44125-4961
Phone (216) 253-5825

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260212000805 OH Practitioner - Clinical Social Worker 2769961416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5010 Mayfield Rd
Suite 302
Lyndhurst, OH 44124-2611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162015OHMDAddiction (Substance Use Disorder) Counselor
S.1904578OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ridley Behavioral Health Multi-Specialty CurrentSince Dec 24, 2025 Accepting new patients
Empowercare Solutions Current Accepting new patients
Empowercare Solutions Current Accepting new patients
Happy Hour Counseling Association Limited Clinical CurrentSince Dec 24, 2025 Accepting new patients

Locations

5010 Mayfield Rd
Ste 302
Lyndhurst, OH 44124
Phone (216) 253-5825

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1447778857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 HATHAWAY RD APT 2",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254961",
            "telephone_number": "216-253-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 HATHAWAY RD APT 2",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254961",
            "telephone_number": "216-253-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LETITIA",
        "middle_name": "VONISE",
        "name_prefix": "Dr.",
        "credential": "LSW, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1904578",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.