Patricia Sue Yardley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18125 Issued in CA

Practice address

7 4TH St
Ste 62
Petaluma, CA 94952-7410

Phone

(503) 853-6847

NPI assigned

Jan 20, 2007

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1124171186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "PENNGROVE",
            "state": "CA",
            "postal_code": "949510554",
            "telephone_number": "503-853-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 4TH ST",
            "address_2": "STE 62",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527410",
            "telephone_number": "503-853-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARDLEY",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003299",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Jerome Wu, MD
• Kenneth R. Wulff, MD
• Lorena Yanez-Ramirez, ACSW
• Jocelyne Yanez
• Wilyza Mae Olorvida Yap
• Thelonius Stephen Ferland Yardley
• Kaylee Michelle Yarkin
• Katherine K. Yates, MFT
• Kiley M Yeaman
• Amos Yew, PSY.D.

• Clinical Social Worker in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.