Yolanda Adela Chalco, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

108777 Issued in NY

Practice address

2040 Ocean Ave
Ronkonkoma, NY 11779-6536

Phone

(631) 471-7242

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1902499130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CONCORD AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633207",
            "telephone_number": "631-334-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OCEAN AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796536",
            "telephone_number": "631-471-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALCO",
        "first_name": "YOLANDA",
        "middle_name": "ADELA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Addiction Recovery & Empowerment
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• Carolina Chaer
• Jillian K Chan, MD
• Nicole Natasha Charles, M.A., CCC-SLP
• Myrna M Chiesa, LCSW
• Daniel Choi, M.D.
• Adiba Choudhury, RN

• Social Worker in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.