Individual provider Active NPI

Yonatan Michael Yassanye-Snyder, LISW/LCSW

  • Clinical Social Worker
  • Pepper Pike, OH
National Provider Identifier
1871063537
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2103268 Issued in OH
Practice address
29125 Chagrin Blvd
Pepper Pike, OH 44122-4412
Phone
(216) 292-3999
NPI assigned
Nov 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2103268 OH Primary

Addresses

Primary practice location

29125 Chagrin Blvd
Pepper Pike, OH 44122-4412

Mailing address

40640 Meadow LN
Palm Desert, CA 92260-2376

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2103268OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1871063537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40640 MEADOW LN",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29125 CHAGRIN BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441224412",
            "telephone_number": "216-292-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSANYE-SNYDER",
        "first_name": "YONATAN",
        "middle_name": "MICHAEL",
        "credential": "LISW/LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepper Pike, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.