Carolyn Yedwab, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117501 Issued in MA

Practice address

1093 Beacon St
Suite 404
Brookline, MA 02446-5695

Phone

(201) 838-4108

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1508201088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CATTAIL LN",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672481",
            "telephone_number": "201-838-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "address_2": "SUITE 404",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465695",
            "telephone_number": "201-838-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDWAB",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072557-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimrod Yaniv, LMHC
• Huai Chun Yao, LIC. AC.
• Vivian Yao, OD
• Cyrus A. Yazdi, M.D.
• Jiexing Ye, LIC. AC.
• Kimberly S. Yee
• Youko G Yeracaris, M.D.
• Julie D Yeterian, PH.D.
• Moka Yoo-Jeong
• Juliana Yoo

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.