Individual provider Active NPI

Yvette Nicole Tyndale I, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1366835837
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10217 Issued in CT
Practice address
350 George St
New Haven, CT 06511-6617
Phone
(203) 734-3458
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10217 CT Primary

Addresses

Primary practice location

350 George St
New Haven, CT 06511-6617

Mailing address

350 George St
New Haven, CT 06511-6617
Phone (203) 737-3458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10217CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jun 27, 2020 Accepting new patients
Yale University CurrentSince Sep 1, 2018 Accepting new patients
State of Connecticut CurrentSince Jun 27, 2020 Accepting new patients
Yale University CurrentSince Sep 1, 2018 Accepting new patients

Locations

165 Capitol Ave
Ste 2000
Hartford, CT 06106

40 Temple St
Ste 7A
New Haven, CT 06510
Phone (203) 789-2011

350 George St
New Haven, CT 06511
Phone (203) 737-5870

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

40 Temple St
New Haven, CT 06510
Phone (203) 785-2020

34 Park St
North Haven, CT 06519
Phone (203) 974-7417

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1366835837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116617",
            "telephone_number": "203-737-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116617",
            "telephone_number": "203-734-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNDALE",
        "first_name": "YVETTE",
        "middle_name": "NICOLE",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.