Individual provider Active NPI

Alena Yankie, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1942406426
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10418 Issued in FL
Practice address
1881 NE 26TH St
Ste 70
Wilton Manors, FL 33305-1425
Phone
(754) 800-4606
NPI assigned
Jun 22, 2007
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 SW10418 FL Primary

Addresses

Primary practice location

1881 NE 26TH St
Ste 70
Wilton Manors, FL 33305-1425

Mailing address

1881 NE 26TH St
Ste 70
Wilton Manors, FL 33305-1425
Phone (754) 800-4606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120529000375 FL Practitioner - Clinical Social Worker 9830352954 Practice locations: Wilton Manors, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1881 NE 26TH St
Suite 70
Wilton Manors, FL 33305-1425
Phone (754) 800-4606

2312 Wilton Dr
Suite 4
Wilton Manors, FL 33305-1249
Phone (505) 379-8602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10418FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1942406426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "STE 70",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051425",
            "telephone_number": "754-800-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "STE 70",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051425",
            "telephone_number": "754-800-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKIE",
        "first_name": "ALENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.