Individual provider Active NPI

Jenny L Yovine, LCSW-R

  • Clinical Social Worker
  • Millwood, NY
National Provider Identifier
1932271897
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075786-1 Issued in NY
Practice address
79 Taconic Rd
Millwood, NY 10546-1126
Phone
(646) 872-8485
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075786-1 NY Primary

Addresses

Primary practice location

79 Taconic Rd
Millwood, NY 10546-1126

Mailing address

79 Taconic Rd
Millwood, NY 10546-1126
Phone (646) 872-8485

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
075786-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Yovine LCSW PLLC Clinical CurrentSince Oct 10, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1932271897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 TACONIC RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461126",
            "telephone_number": "646-872-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 TACONIC RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461126",
            "telephone_number": "646-872-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOVINE",
        "first_name": "JENNY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075786-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.