Kim Marie Yancey, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109486-01 Issued in NY

Practice address

145 E 126TH St Apt 3F
New York, NY 10035-1727

Phone

(347) 444-3601

NPI assigned

Nov 2, 2020

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

Other names 1

• Ms. Kim Marie Yancey Professional name

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1255932885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 126TH ST APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351727",
            "telephone_number": "347-444-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 126TH ST APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351727",
            "telephone_number": "347-444-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "109486-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "YANCEY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yukari Yanagino, PH.D., LCSW-R
• Robert T Yanagisawa, MD
• Keiko Yanai, DPT
• Joann Tomoko Yanami, PT
• Christine Marie Yanazzo, PT, OCS
• Kristen Yancey, MD
• Yancheng Acupuncture Wellness P.C.
• Stephen L Yanchus, PT, DPT
• Karen Jacqueline Yancopoulos, FNP
• Aaron Edward Yancoskie, D.D.S.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Nov 2, 2020; 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.