Active NPI
Yasu Wade
- Clinical Social Worker
- Milford, CT
National Provider Identifier
1336971530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 86 Eastern Pkwy
Milford, CT 06460-5001 - Phone
- (203) 945-6227
- NPI assigned
- Aug 15, 2024
- Last updated
- Aug 15, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
86 Eastern Pkwy
Milford, CT 06460-5001
Mailing address
86 Eastern Pkwy
Milford, CT 06460-5001
Phone (203) 945-6227
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1336971530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 EASTERN PKWY",
"city": "MILFORD",
"state": "CT",
"postal_code": "064605001",
"telephone_number": "203-945-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 EASTERN PKWY",
"city": "MILFORD",
"state": "CT",
"postal_code": "064605001",
"telephone_number": "203-945-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "YASU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
- Jennifer Paskiewicz Vondle, M.S., LMFT
- Victoria Rayne Vonkaenel, CCC-SLP
- Kelly Vornkahl, BCBA
- Maribeth Voytek, RPT
- Kenneth James Wachuk, D.D.S.
- Jeffrey Allan Wagner, MD
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-5294)
- Ashley Waldstein
- Walgreen Co (Walgreens #01451)
- Walgreen Co (Walgreens #06503)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.