Provider Demographics
NPI:1326117284
Name:YIP, EILEEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:
Last Name:YIP
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 1:8 AGNEW FARM RD UNIT 3A
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1377
Mailing Address - Country:US
Mailing Address - Phone:914-632-6433
Mailing Address - Fax:914-632-2265
Practice Address - Street 1:466 MAIN ST
Practice Address - Street 2:WJCS
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6431
Practice Address - Country:US
Practice Address - Phone:914-632-6433
Practice Address - Fax:914-632-2265
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0529701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN68K210Medicare PIN