Individual provider Active NPI

Robert Lloyd Yurisko, LISW-S, LICDC-CS

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1598248015
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405114-SUPV Issued in OH
Practice address
1180 S High St
Columbus, OH 43206-3413
Phone
(614) 448-0123
NPI assigned
Sep 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC-CS.162210 OH
Clinical Social Worker 1041C0700X I.2405114-SUPV OH Primary

Addresses

Primary practice location

1180 S High St
Columbus, OH 43206-3413

Mailing address

1470 King Ave Apt 7
Columbus, OH 43212-2127
Phone (614) 448-0123

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
I20260416001464 OH Practitioner - Clinical Social Worker 2062988165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1470 King Ave Apt
Suite 7
Columbus, OH 43212-2127

411 Court St
Portsmouth, OH 45662-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405114-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
House of Hope for Recovery Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1598248015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 KING AVE APT 7",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122127",
            "telephone_number": "614-448-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063413",
            "telephone_number": "614-448-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURISKO",
        "first_name": "ROBERT",
        "middle_name": "LLOYD",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC-CS.162210",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405114-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.