Active NPI
Beatric Tina Yonly, LMSW
- Social Worker
- Mount Vernon, NY
National Provider Identifier
1164606265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072379 1
- Practice address
- 100 Stevens Ave
Suite 1
Mount Vernon, NY 10550-2600 - Phone
- (917) 981-7557
- Fax
- (914) 663-4829
- NPI assigned
- Dec 26, 2007
- Last updated
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 072379 1 | NY | Primary |
Addresses
Primary practice location
100 Stevens Ave
Suite 1
Mount Vernon, NY 10550-2600
Mailing address
100 Stevens Ave
Suite 1
Mount Vernon, NY 10550-2600
Phone (917) 981-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072379 1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1164606265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STEVENS AVE",
"address_2": "SUITE 1",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502600",
"telephone_number": "917-981-7557",
"fax_number": "914-663-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STEVENS AVE",
"address_2": "SUITE 1",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502600",
"telephone_number": "917-981-7557",
"fax_number": "914-663-4829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONLY",
"first_name": "BEATRIC",
"middle_name": "TINA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072379 1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.