Shira Yekutiel

Primary specialty

Social WorkerTaxonomy code 104100000X

License

091093 Issued in NY

Practice address

14415 78TH Rd
Apt 3C
Flushing, NY 11367-3514

Phone

(443) 690-5164

NPI assigned

Feb 3, 2014

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)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

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.

• Long Island Consultation Center

  • Counselor
  • Elmhurst, NY
  • NPI 1356016703
  NPD

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1427471978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 78TH RD",
            "address_2": "APT 3C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673514",
            "telephone_number": "443-690-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKUTIEL",
        "first_name": "SHIRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "890063411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan K Yee
• Lily Yee, M.D.
• Vivian S Yee, M.D.
• Ben CHI-Shih Yeh, D.D.S.
• Min Tang Yeh
• Emily Sarah Yellin, MS, RDN, CDRN
• Yellowstone Transportation Inc.
• Cornelius Lisen Yen, DDS
• Daniel J Yen, D.D.S.
• Tziporah Twersky Yenowitz, LCSW

• Social Worker in Flushing, NY
• Providers in Flushing, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.