Active NPI
Bettina Yanez, LCSW
- Clinical Social Worker
- Melville, NY
National Provider Identifier
1104159789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081223
- Practice address
- 25 Melville Park Rd Ste 53
Melville, NY 11747-3175 - Phone
- (631) 204-3434
- Fax
- (917) 997-8950
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081223 | NY | Primary |
| Clinical Social Worker | 1041C0700X | SW19991 | FL |
Addresses
Primary practice location
25 Melville Park Rd Ste 53
Melville, NY 11747-3175
Mailing address
PO Box 895123
Leesburg, FL 34789-5123
Phone (352) 234-3807
Other practice location 1
600 Market St
Leesburg, FL 34748-5143
Phone (352) 234-3807
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03213238 | Medicaid | NY | |
| 081223-1 | Other | NY | LICENSE |
| 6849690 | Other | NY | LICENSE |
| SW19991 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Jacksonville, FL 32211
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW19991 | FL | MD | Clinical Social Worker |
| 081223 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Health, Inc. | Current | Accepting new patients | |
| Find Peace Counseling LCSW PLLC | Clinical | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Leesburg, FL
- NPI 1447819081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1104159789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 895123",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347895123",
"telephone_number": "352-234-3807",
"fax_number": "516-351-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MELVILLE PARK RD STE 53",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473175",
"telephone_number": "631-204-3434",
"fax_number": "917-997-8950"
}
],
"practiceLocations": [
{
"address_1": "600 Market St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347485143",
"country_code": "US",
"telephone_number": "352-234-3807",
"fax_number": "516-351-1912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANEZ",
"first_name": "BETTINA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081223",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19991",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03213238",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "081223-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6849690",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SW19991",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.