Active NPI
Yiqun Yang
- Clinical Social Worker
- Flushing, NY
National Provider Identifier
1225719933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120109-01
- Practice address
- 14015 Sanford Ave Ste B
Flushing, NY 11355-2688 - Phone
- (646) 287-9041
- NPI assigned
- Jul 26, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120109-01 | NY | Primary |
Addresses
Primary practice location
14015 Sanford Ave Ste B
Flushing, NY 11355-2688
Mailing address
3183 30TH St Apt 1F
Astoria, NY 11106-2815
Phone (646) 287-9041
Other practice location 1
4308 52nd St
Woodside, NY 11377-3256
Phone (646) 187-9041
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 |
|---|---|---|---|
| 120109-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1225719933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3183 30TH ST APT 1F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062815",
"telephone_number": "646-287-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 SANFORD AVE STE B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552688",
"telephone_number": "646-287-9041"
}
],
"practiceLocations": [
{
"address_1": "4308 52nd St",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113773256",
"country_code": "US",
"telephone_number": "646-187-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "YIQUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "120109-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.