Yanette Leticia Tactuk, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082509-1 Issued in NY

Practice address

3119 89TH St Apt 1B
East Elmhurst, NY 11369-1446

Phone

(646) 226-6979

NPI assigned

Dec 5, 2011

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1205104221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 89TH ST APT 1B",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691446",
            "telephone_number": "646-226-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 89TH ST APT 1B",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691446",
            "telephone_number": "646-226-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 5th Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031008",
            "country_code": "US",
            "telephone_number": "646-849-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACTUK",
        "first_name": "YANETTE",
        "middle_name": "LETICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082509-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Straus, MS,OTR/L
• Froilan Suarez, DMSC, MS, PA-C
• Afsana Sultana, PHARMD
• Syed Syedain, RPH
• Emese Szirtes-Paksi, IBCLC
• Dana Marie Elizabeth Taitt
• Rommel M Tan, PT
• Perla Tapia
• Tend Mental Health Counseling PLLC
• Maria Thomas

• Clinical Social Worker in East Elmhurst, NY
• Providers in East Elmhurst, 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 Jul 30, 2025; 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.