Justin Herbert Yampolsky

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LG200003092 Issued in DC

Practice address

4201 Connecticut Ave NW Ste 300
Washington, DC 20008-1162

Phone

(202) 624-0010

NPI assigned

Sep 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1770300295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 BILTMORE ST NW APT 32",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091532",
            "telephone_number": "843-513-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CONNECTICUT AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081162",
            "telephone_number": "202-624-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMPOLSKY",
        "first_name": "JUSTIN",
        "middle_name": "HERBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG200003092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Yamba
• Mimie Gaelle Yamenga
• Esther Yamgmia, HHA
• Kwabena Yamoah
• Severine Yamogo
• Olabisi Esther Yamu
• Sumba Sunday Yamu
• Mae Yan
• Mary Newsome Yancey, MT0104524
• Shirley Yancey, PA-C

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.