Provider Demographics
NPI:1336307180
Name:CUENCO, YVETTE SANTOS (LMSW)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:SANTOS
Last Name:CUENCO
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 1:5601 16TH AVE
Mailing Address - Street 2:IHB DAY TREATMENT CENTER @ PS 180
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1809
Mailing Address - Country:US
Mailing Address - Phone:718-686-1526
Mailing Address - Fax:718-854-1483
Practice Address - Street 1:5601 16TH AVE
Practice Address - Street 2:IHB DAY TREATMENT CENTER @ PS 180
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1809
Practice Address - Country:US
Practice Address - Phone:718-686-1526
Practice Address - Fax:718-854-1483
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0746211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical