Individual provider Active NPI

Vessa Yankevich

  • Social Worker
  • Niles, OH
National Provider Identifier
1679831473
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
165 E Park Ave
Niles, OH 44446
Phone
(330) 544-8005
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 PA Primary

Addresses

Primary practice location

165 E Park Ave
Niles, OH 44446

Mailing address

277 Park Ave Apt 5
Youngstown, OH 44504-1628
Phone (412) 758-1902

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
I20181121001064 OH Practitioner - Clinical Social Worker 0244584696 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Community Services Inc CurrentSince Oct 25, 2018 Accepting new patients
Family & Community Services, Inc CurrentSince Oct 25, 2018 Accepting new patients
Ohio North East Health Systems, Inc. CurrentSince Mar 15, 2021 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Mar 15, 2021 Accepting new patients

Locations

1977 Niles Rd SE
Warren, OH 44484
Phone (330) 372-5800

150 E Market St
Warren, OH 44481
Phone (330) 394-6244

716 Tod Ave SW
Warren, OH 44485
Phone (330) 373-0222

4970 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-8237

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: vessa.yankevich.p1@direct.oho.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1679831473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PARK AVE APT 5",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041628",
            "telephone_number": "412-758-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E PARK AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-544-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKEVICH",
        "first_name": "VESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.