Individual provider Active NPI

Ginger L Yanchar, LISW-SUPV

  • Social Worker
  • Mentor, OH
National Provider Identifier
1588077184
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0008865 Issued in OH
Practice address
5930 Heisley Rd
Mentor, OH 44060-1834
Phone
(440) 639-3509
Fax
(440) 352-2040
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0008865 OH Primary

Addresses

Primary practice location

5930 Heisley Rd
Mentor, OH 44060-1834

Mailing address

5930 Heisley Rd
Mentor, OH 44060-1034
Phone (440) 639-3509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0008865OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1588077184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 HEISLEY RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601034",
            "telephone_number": "440-639-3509",
            "fax_number": "440-352-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 HEISLEY RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601834",
            "telephone_number": "440-639-3509",
            "fax_number": "440-352-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHAR",
        "first_name": "GINGER",
        "middle_name": "L",
        "credential": "LISW-SUPV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0008865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.