Individual provider Active NPI

Michele Yenis, MSW,ACSW,LCSW,BCD

  • Clinical Social Worker
  • Yardley, PA
National Provider Identifier
1932272762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012603 Issued in PA
Practice address
301 Oxford Valley Rd
# 603A
Yardley, PA 19067-7706
Phone
(215) 953-9790
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW012603 PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd
# 603A
Yardley, PA 19067-7706

Mailing address

301 Oxford Valley Rd
# 603 A
Yardley, PA 19067-7712
Phone (215) 953-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000026 PA Practitioner - Clinical Social Worker 4385643642 Practice locations: Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Oxford Valley Rd
Suite 603a
Yardley, PA 19067-7712
Phone (215) 942-7983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012603PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychology Services Past 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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932272762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "# 603 A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677712",
            "telephone_number": "215-953-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "# 603A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-953-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENIS",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "MSW,ACSW,LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.