Michael Ivan Yuille, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125695 Issued in MA

Practice address

11 Congreve St Ste 2
Boston, MA 02131-1913

Phone

(617) 678-9202

NPI assigned

May 24, 2017

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Integrative Counseling and Wellness LLC

  • Psychologist
  • Hingham, MA
  • NPI 1881118107

  Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA

  Medicare reassignment NPD
• Vita G Counseling LLC

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1003626896
  NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1841728631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CONGREVE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311913",
            "telephone_number": "617-678-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CONGREVE ST STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311913",
            "telephone_number": "617-678-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUILLE",
        "first_name": "MICHAEL",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Yue
• Wen Yue
• Leslie Catherine Yuen, MD
• David Yuh, M.D.
• Yuheng Ruan, MD, LLC
• Koichi Yuki, M.D.
• Marcy Kerr Yuknat, PSY.D.
• Seyhmus Yuksekkaya
• Amy M. Yule, MD
• Yun K Lam M D P C

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.