Provider Demographics
NPI:1437308541
Name:ROBERTS, YOLANDA YVETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:YVETTE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1414 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2720
Mailing Address - Country:US
Mailing Address - Phone:510-860-0700
Mailing Address - Fax:510-260-0088
Practice Address - Street 1:1035 SAN PABLO AVENUE
Practice Address - Street 2:SUITE 8 OFFICE 6
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706
Practice Address - Country:US
Practice Address - Phone:510-860-0700
Practice Address - Fax:510-260-0088
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA772651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical