Individual provider Active NPI

Yurianna Hyechong NA, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1497377527
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89458 Issued in CA
Practice address
1401 Jackson St Apt 501
Oakland, CA 94612-4086
Phone
(951) 204-6860
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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 89458 CA Primary

Addresses

Primary practice location

1401 Jackson St Apt 501
Oakland, CA 94612-4086

Mailing address

1401 Jackson St Apt 501
Oakland, CA 94612-4086
Phone (951) 204-6860

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1497377527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JACKSON ST APT 501",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124086",
            "telephone_number": "951-204-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JACKSON ST APT 501",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124086",
            "telephone_number": "951-204-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NA",
        "first_name": "YURIANNA",
        "middle_name": "HYECHONG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.