Individual provider Active NPI

Mandalyn Yinger, LISW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1902535115
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507294 Issued in OH
Practice address
1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643
Phone
(937) 510-9282
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 Worker 1041C0700X I.2507294 OH Primary
Clinical Social Worker 1041C0700X S.1701332 OH

Addresses

Primary practice location

1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643

Mailing address

414 Carters Grove Rd
Dayton, OH 45459-2513
Phone (937) 479-1729

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
I20251023002799 OH Practitioner - Clinical Social Worker 8325536063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1222 S Patterson Blvd
Suite 230
Dayton, OH 45402-2643
Phone (937) 853-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2507294OHMDClinical Social Worker
S.1701332OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Oct 14, 2025 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Equitas Health, Inc CurrentSince Oct 14, 2025 Accepting new patients

Locations

L3842
Columbus, OH 43260

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

2805 Gilbert Ave
Walnut Hills, OH 45206
Phone (513) 281-4116

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1902535115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CARTERS GROVE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592513",
            "telephone_number": "937-479-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "937-510-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YINGER",
        "first_name": "MANDALYN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507294",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1701332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.