Provider Demographics
NPI:1124397948
Name:YU-BURNS, MIAO (LCSW)
Entity Type:Individual
Prefix:
First Name:MIAO
Middle Name:
Last Name:YU-BURNS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MIAO
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MARRIAGE NAME
Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0010
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:21 EAST 22ND STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5332
Practice Address - Country:US
Practice Address - Phone:212-460-7800
Practice Address - Fax:212-460-7877
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082435104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker