Marvin Anthony Yanke, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801046069 Issued in MI

Practice address

1031 S Main St
Plymouth, MI 48170-2022

Phone

(734) 359-5500

NPI assigned

Sep 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Interpersonal Growth Counseling, PLLC.

  • Professional Counselor
  • Plymouth, MI
  • NPI 1174064968
  NPD

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1568130508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 HIGH MEADOW CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703714",
            "telephone_number": "734-635-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702022",
            "telephone_number": "734-359-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKE",
        "first_name": "MARVIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahood Yahya
• Ayesha Yalamarthy
• Marcella Yaldo, OTR/L
• Xizi Yan
• Jenni Hyojin Yang
• Karin Yassine
• Amanda Yats
• Sarah Yelencich
• Ryan Yetter, CNIM
• Stephen Yoon

• Clinical Social Worker in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.