Deanne Yaklin, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05494300 Issued in NJ

Practice address

60 W Ridgewood Ave
Ridgewood, NJ 07450-3197

Phone

(201) 378-7389

NPI assigned

Jan 21, 2019

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 identifiers 1

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": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1407320674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601212",
            "telephone_number": "914-629-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503197",
            "telephone_number": "201-378-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKLIN",
        "first_name": "DEANNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05494300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE SOCIAL WORK LICENSE",
            "identifier": "44SC05494300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Womens Imaging of Ridgewood LLC
• Laura Woodford
• Annmarie Woods, LPC
• Jane Worthman-Leva, MS, RD
• Steven Jay Wruble, M.D.
• Joseph Yallowitz, MD
• Wayne A. Yankus, M.D.
• Altan Omer Yenicay, M.D.
• Joy H Yoo, D.M.D
• Sukbum Yoo

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.