Individual provider Active NPI

Yomarlyn Pena, MSW

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1710606462
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15518 Issued in PR
Practice address
556 Calle Martino
San Juan, PR 00915-4209
Phone
(787) 635-1612
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 15518 PR Primary

Addresses

Primary practice location

556 Calle Martino
San Juan, PR 00915-4209

Mailing address

556 Calle Martino
San Juan, PR 00915-4209
Phone (787) 635-1612

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.YPA-250385@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1710606462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CALLE MARTINO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009154209",
            "telephone_number": "787-635-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CALLE MARTINO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009154209",
            "telephone_number": "787-635-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "YOMARLYN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.YPA-250385@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "www.YPA-250385@hotmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "556 Calle Martino",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009154209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.