Provider Demographics
NPI:1275902827
Name:NORIEGA NORIEGA, YASMIN (LMSW)
Entity Type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:NORIEGA NORIEGA
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:D38 CALLE JUAN MORALES
Mailing Address - Street 2:URB VALLE TOLIMA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-616-6248
Mailing Address - Fax:
Practice Address - Street 1:D38 CALLE JUAN MORALES
Practice Address - Street 2:URB VALLE TOLIMA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-0000
Practice Address - Country:US
Practice Address - Phone:787-537-7555
Practice Address - Fax:787-537-7104
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR114321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical