Individual provider Active NPI

Cynthia Yang, LCSW

  • Clinical Social Worker
  • Davis, CA
National Provider Identifier
1689726796
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 21190 Issued in CA
Practice address
2055 Anderson Rd
Ste. C
Davis, CA 95616-1210
Phone
(530) 304-8662
Fax
(916) 371-3889
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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 LCS 21190 CA Primary

Addresses

Primary practice location

2055 Anderson Rd
Ste. C
Davis, CA 95616-1210

Mailing address

2055 Anderson Rd
Ste. C
Davis, CA 95616-1210
Phone (530) 304-8662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111028000270 CA Practitioner - Clinical Social Worker 7517137540 Practice locations: Davis, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 21190CAMDClinical Social Worker
21190CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1689726796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 ANDERSON RD",
            "address_2": "STE. C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161210",
            "telephone_number": "530-304-8662",
            "fax_number": "916-371-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 ANDERSON RD",
            "address_2": "STE. C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161210",
            "telephone_number": "530-304-8662",
            "fax_number": "916-371-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.