MRS. SHELLEY L. YAVORNITZKY (LISW-S) – Clinical Social Worker, NPI 1124726997

MRS. SHELLEY L. YAVORNITZKY (LISW-S) is a healthcare provider. based in Elyria, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I.0007680 (OH). The NPI Number for MRS. SHELLEY L. YAVORNITZKY (LISW-S) is 1124726997

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELLEY L. YAVORNITZKY (LISW-S)
NPI
1124726997
Phone
(440) 324-0487
Address
41201 SCHADDEN RD
Enumeration Date
21 February 2023
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409348344
Graduation Year
1993 (33 years ago)
PAC ID
5395100465
Group Practice PAC ID
4688070055
Professional Enrollment ID
I20230424002572
Address ID
OH440352249EL41201RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MRS. SHELLEY L. YAVORNITZKY (LISW-S)

  • 41201 SCHADDEN RD

    ELYRIA, OH 440352249

    Phone: (440) 324-0487

    Fax: (440) 324-0487

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230424002572IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688070055View full group profile
NameSpecialtyState
Family Practice, Sports MedicinePA
Pulmonary Disease, Internal MedicineOH
U R O L O G YOH
Pain Management, Physical Medicine And RehabilitationOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
G A S T R O E N T E R O L O G YOH
Certified Nurse Midwife (Cnm)OH
N E U R O S U R G E R YNC

Reviews

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Frequently asked questions

Is MRS. SHELLEY L. YAVORNITZKY (LISW-S) listed with a National Provider Identifier?
Yes — MRS. SHELLEY L. YAVORNITZKY (LISW-S) has NPI 1124726997 on file in the registry.
Is MRS. SHELLEY L. YAVORNITZKY (LISW-S) still an active registrant?
MRS. SHELLEY L. YAVORNITZKY (LISW-S) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. SHELLEY L. YAVORNITZKY (LISW-S)?
MRS. SHELLEY L. YAVORNITZKY (LISW-S)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MRS. SHELLEY L. YAVORNITZKY (LISW-S) located near Elyria?
MRS. SHELLEY L. YAVORNITZKY (LISW-S) currently maps to Elyria, Ohio in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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