Iris S. Yankelevich, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079893 Issued in NY

Practice address

10915 Queens Blvd
LL
Forest Hills, NY 11375-5482

Phone

(718) 896-5615

Fax

(718) 576-2693

NPI assigned

Jul 24, 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

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.

• Yes Psychotherapy Services

  • Mental Health Counselor
  • Forest Hills, NY
  • NPI 1568900645
  NPD (past) Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1144420498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 112TH ST",
            "address_2": "APT. 12C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469",
            "telephone_number": "718-896-5615",
            "fax_number": "718-576-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 QUEENS BLVD",
            "address_2": "LL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755482",
            "telephone_number": "718-896-5615",
            "fax_number": "718-576-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKELEVICH",
        "first_name": "IRIS",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Yang, ACUPUNCTURE
• Yang Yang, RD
• Yu Yang, M.D.
• Zhi Mei Yang
• Janella Yangapatty
• Virna Pahoyo Yao
• Shannon Yarima, MD
• Grace Yau, M.D.
• Joseph Yau, PT, DPT
• Aaron Yavelberg, L.C.S.W.

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.