Individual provider Active NPI

Regina Yvette Yorkman

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1861284176
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21466 Issued in MD
Practice address
13207 Dangelo Dr
Bowie, MD 20720-4727
Phone
(301) 906-6316
Fax
(301) 906-6316
NPI assigned
May 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC200001709 DC
Clinical Social Worker 1041C0700X 21466 MD Primary

Addresses

Primary practice location

13207 Dangelo Dr
Bowie, MD 20720-4727

Mailing address

13207 Dangelo Dr
Bowie, MD 20720-4727
Phone (301) 906-6316

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

State licenses

LicenseStateTypeSpecialty
LC200001709DCMDClinical Social Worker
21466MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1861284176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 DANGELO DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204727",
            "telephone_number": "301-906-6316",
            "fax_number": "301-906-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 DANGELO DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204727",
            "telephone_number": "301-906-6316",
            "fax_number": "301-906-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORKMAN",
        "first_name": "REGINA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001709",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.