Mary Ac Yetta, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4503 Issued in LA

Practice address

2021 Dublin St
New Orleans, LA 70118-2920

Phone

(504) 756-4554

NPI assigned

Mar 1, 2011

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Start Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houma, LA
  • NPI 1700156866
  Medicare reassignment NPD
• Start Corporation

  dba Start Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
  • NPI 1346712957
  NPD

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1225336159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182920",
            "telephone_number": "504-756-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182920",
            "telephone_number": "504-756-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETTA",
        "first_name": "MARY",
        "middle_name": "AC",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jericka Yehudah, GC
• Caitlin Yelverton, NNP-BC
• Yemayas Village Inc
• Jeevan Kumar Yenuganti, BDS, MSPH
• Luke Yesbeck
• Xiao-Ming Yin, MD,PHD
• Shaun Robert Yockelson, M.D.
• Catherine Flynn Yockey, MA
• Chelsea Yoder
• Shirley Yodzis, M.D.

• Clinical Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.