Provider Demographics
NPI:1225204100
Name:YECIES, WENDY ALYSSA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ALYSSA
Last Name:YECIES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 147TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4103
Mailing Address - Country:US
Mailing Address - Phone:718-665-2456
Mailing Address - Fax:
Practice Address - Street 1:401 E 147TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4103
Practice Address - Country:US
Practice Address - Phone:718-402-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073524-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker