Individual provider Active NPI

Jeanine Joy Yoder, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1679254429
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109904 Issued in CA
Practice address
5151 N Palm Ave Ste 950
Fresno, CA 93704-2264
Phone
(559) 476-6209
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 109904 CA Primary

Addresses

Primary practice location

5151 N Palm Ave Ste 950
Fresno, CA 93704-2264

Mailing address

5358 N Ricewood Ave
Fresno, CA 93711-2717
Phone (559) 370-6374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 14, 2026 through Jan 14, 2028

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1679254429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5358 N RICEWOOD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112717",
            "telephone_number": "559-370-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 950",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042264",
            "telephone_number": "559-476-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "JEANINE",
        "middle_name": "JOY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.