Active NPI
Jenny L Yovine, LCSW-R
- Clinical Social Worker
- Millwood, NY
National Provider Identifier
1932271897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 075786-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 075786-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenny Yovine LCSW PLLC | Clinical | Current | 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.