Yvonne Fellers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SO2023 Issued in TX

Practice address

1011 S William St
Atlanta, TX 75551-3245

Phone

(903) 796-2868

Fax

(903) 796-0826

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yvonne Fellers Inc

  • Clinical Social Worker
  • Texarkana, TX
  • NPI 1083689285
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1942555669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513245",
            "telephone_number": "903-796-2868",
            "fax_number": "903-796-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513245",
            "telephone_number": "903-796-2868",
            "fax_number": "903-796-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLERS",
        "first_name": "YVONNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "SO2023",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "C589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gay H Etheredge, LCSW
• Evergreen Presbyterian Ministries of Texas, Inc. (Evergreen Choctaw Community Home)
• Evergreen Presbyterian Ministries of Texas, Inc. (Evergreen Clearview Community Home)
• Family Eye Care Clinic PC
• Megan Michelle Farmer, MS CCC-SLP
• Sherrie L Fitts, APN
• Samantha Olivia Flemming, RBT
• Cynthia Womack Flint, M.S. CCC/SLP
• Terry Don Foster, O.D.
• Darrell G Frost, DC

• Clinical Social Worker in Atlanta, TX
• Providers in Atlanta, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.