Susan Yancey Wegelin, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.0008923 Issued in OH

Practice address

312 3Rd St
Elyria, OH 44035-5618

Phone

(440) 323-5707

Fax

(440) 323-3016

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pathways Counseling and Growth Center

  • Community/Behavioral Health Agency
  • Grafton, OH
  • NPI 1801104799
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942425558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MARSEILLES AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354041",
            "telephone_number": "440-365-6960",
            "fax_number": "440-365-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 3RD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355618",
            "telephone_number": "440-323-5707",
            "fax_number": "440-323-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGELIN",
        "first_name": "SUSAN",
        "middle_name": "YANCEY",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0008923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Weaver
• Gerle Webb
• Raymond Patrick Webber, DO
• Jamie Lynn Weese, LPN
• Steve Weese
• Ellen Debra Weiss, RN
• Corrie Danielle Weitzel, O.D., M.S.
• Matthew Welich, LPCC
• Lawrence James Welsh, D.D.S.
• Cassandra Lea Welter

• Social Worker in Elyria, OH
• Providers in Elyria, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.