Michael Charles Yestramski Jr., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60390407 Issued in WA

Practice address

5900 SW Admiral Way
Apt. #5B
Seattle, WA 98116-4708

Phone

(410) 474-7154

NPI assigned

Apr 21, 2015

Last updated

Apr 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1447647037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SW ADMIRAL WAY",
            "address_2": "APT. #5B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164708",
            "telephone_number": "410-474-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SW ADMIRAL WAY",
            "address_2": "APT. #5B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164708",
            "telephone_number": "410-474-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESTRAMSKI",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15008",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60390407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C",
            "identifier": "15008",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LW60390407",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cecilia CS Yeung, MD

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.