Provider Demographics
NPI:1073755138
Name:HENRY, YVONNE ALVERA (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:ALVERA
Last Name:HENRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 HILLSIDE AVENUE
Mailing Address - Street 2:SUITE 13C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2721
Mailing Address - Country:US
Mailing Address - Phone:212-569-8165
Mailing Address - Fax:
Practice Address - Street 1:99 HILLSIDE AVENUE
Practice Address - Street 2:SUITE 13C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2721
Practice Address - Country:US
Practice Address - Phone:212-569-8165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073865-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical