Active NPI
Nechama Smadar Yaish, LCSW-R
- Clinical Social Worker
- West Hurley, NY
National Provider Identifier
1720364409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R066310-1
- Practice address
- 88 John Street
West Hurley, NY 12491 - Phone
- (828) 550-5636
- Fax
- (828) 586-6601
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R066310-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | C008213 | NC |
Addresses
Primary practice location
88 John Street
West Hurley, NY 12491
Mailing address
88 John Street
West Hurley, NY 12491
Phone (828) 550-5636
Other names 1
- Smadar Yaish
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008213 | NC | MD | Clinical Social Worker |
| R066310-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1720364409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 JOHN STREET",
"city": "WEST HURLEY",
"state": "NY",
"postal_code": "12491",
"telephone_number": "828-550-5636",
"fax_number": "828-586-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 JOHN STREET",
"city": "WEST HURLEY",
"state": "NY",
"postal_code": "12491",
"telephone_number": "828-550-5636",
"fax_number": "828-586-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAISH",
"first_name": "NECHAMA SMADAR",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R066310-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SMADAR",
"last_name": "YAISH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Hurley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.