Yeong J Bae, M.DIV, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW128158 Issued in PA

Practice address

2003 Ballantine LN
Warrington, PA 18976-2738

Phone

(610) 937-5615

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

Yes

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.

• Ellie of Bucks LLC

  • Mental Health Counselor
  • Warrington, PA
  • NPI 1013630615
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2024.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1902624596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BALLANTINE LN",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762738",
            "telephone_number": "610-937-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 BALLANTINE LN",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762738",
            "telephone_number": "610-937-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "YEONG",
        "middle_name": "J",
        "credential": "M.DIV, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Bette Arizmendi, CRNP
• Ahsan Arshad, MD
• Courtney Artau, MS, ED.S
• Corey Asner, LMSW, ML
• Azure Psychiatry PLLC
• Baer Health
• Fejzije Bala, DDS
• Sean Baldwin
• Lawrence Stewart Barbera, MD
• Melissa Lauren Beans, CRNP

• All providers in Warrington, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.