Individual provider Active NPI

Patricia Lee Yauger, LCSW

  • Mental Health Counselor
  • Avalon, PA
National Provider Identifier
1639447733
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW017057 Issued in PA
Practice address
606 California Ave
Avalon, PA 15202-2429
Phone
(412) 527-3034
NPI assigned
Dec 5, 2011
Last updated
Mar 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW017057 PA Primary

Addresses

Primary practice location

606 California Ave
Avalon, PA 15202-2429

Mailing address

606 California Ave
Avalon, PA 15202-2429
Phone (412) 527-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602001701 PA Practitioner - Clinical Social Worker 2769759372 Practice locations: Avalon, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

606 California Ave
Avalon, PA 15202-2429
Phone (412) 527-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1639447733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CALIFORNIA AVE",
            "city": "AVALON",
            "state": "PA",
            "postal_code": "152022429",
            "telephone_number": "412-527-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CALIFORNIA AVE",
            "city": "AVALON",
            "state": "PA",
            "postal_code": "152022429",
            "telephone_number": "412-527-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAUGER",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW017057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avalon, PA

Sources for this page

Verify at the official NPI Registry.