Provider Demographics
NPI:1205392628
Name:YIP, MANG HIN (LCSW)
Entity Type:Individual
Prefix:
First Name:MANG
Middle Name:HIN
Last Name:YIP
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SALINA RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-4111
Mailing Address - Country:US
Mailing Address - Phone:856-566-6034
Mailing Address - Fax:856-566-6208
Practice Address - Street 1:550 SALINA RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4111
Practice Address - Country:US
Practice Address - Phone:856-566-6034
Practice Address - Fax:856-566-6208
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00286300101YA0400X
NJ44SC056814001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)