Individual provider Active NPI

Yuko Inzana, LCSW

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1568526093
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05369800 Issued in NJ
Practice address
141 Wall St
Princeton, NJ 08540
Phone
(609) 917-4011
NPI assigned
Dec 20, 2006
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 068105-1 NY
Clinical Social Worker 1041C0700X 44SC05369800 NJ Primary

Addresses

Primary practice location

141 Wall St
Princeton, NJ 08540

Mailing address

141 Wall St
Princeton, NJ 08540-1521
Phone (609) 917-4011

Other practice location 1

1901 N Olden Avenue Ext
Suite 21
Ewing, NJ 08618-2111
Phone (609) 865-4844

Other practice location 2

134 W End Ave Fl 2
Somerville, NJ 08876-1816
Phone (609) 917-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2023 through Feb 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05369800NJMDClinical Social Worker
068105-1NYMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1568526093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401521",
            "telephone_number": "609-917-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-917-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Olden Avenue Ext",
            "address_2": "Suite 21",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086182111",
            "country_code": "US",
            "telephone_number": "609-865-4844",
            "fax_number": "609-882-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 W End Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088761816",
            "country_code": "US",
            "telephone_number": "609-917-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INZANA",
        "first_name": "YUKO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068105-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05369800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.