Kyle Bradley Yoshihara, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW93018 Issued in CA

Practice address

510 S 2ND Ave
Covina, CA 91723-3017

Phone

(626) 974-8123

Fax

(626) 974-8198

NPI assigned

Aug 1, 2018

Last updated

Aug 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1497834089
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1730667718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N IRONSTONE AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402126",
            "telephone_number": "818-688-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233017",
            "telephone_number": "626-974-8123",
            "fax_number": "626-974-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIHARA",
        "first_name": "KYLE",
        "middle_name": "BRADLEY",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW93018",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Yeh
• Meliza Lizvet Yepez
• Vincent Yerena-Maldonado
• Morris Chuk Ming Yip, DDS PHD
• Jae Whan Yoon, M.D
• Yuki You
• Emad Youakim, R.P.H.
• Britney Young
• Christie Young, LCSW
• Kristin Young, MA

• Clinical Social Worker in Covina, CA
• Providers in Covina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.