Provider Demographics
NPI:1467490151
Name:YUNK, MARILYN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:YUNK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9165 RIVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1781
Mailing Address - Country:US
Mailing Address - Phone:443-831-4145
Mailing Address - Fax:410-366-8530
Practice Address - Street 1:10630 LITTLE PATUXENT PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3264
Practice Address - Country:US
Practice Address - Phone:443-831-4145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD021311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD009612OtherVALUEOPTIONS
MD1821318-00Medicaid
MD397791OtherTRICARE/MHN
MD7562368OtherAETNA BEHAVIORAL HEALTH
MD258460OtherKAISER
MD257603OtherCOMPSYCH
MD17281OtherAPS HEALTHCARE
MD232095000OtherAMERIHEALTH
MD281704OtherMAMSI
MD524452OtherBCBS-MARYLAND
DCT541-0020OtherCAREFIRST BCBS
MD172517-000OtherMAGELLEN
MD1821318-00Medicaid