Provider Demographics
NPI:1477852770
Name:YUTZY, LEMUEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LEMUEL
Middle Name:
Last Name:YUTZY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3415
Mailing Address - Country:US
Mailing Address - Phone:610-279-9270
Mailing Address - Fax:610-279-4146
Practice Address - Street 1:1201 DEKALB ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3415
Practice Address - Country:US
Practice Address - Phone:610-279-9270
Practice Address - Fax:610-279-4146
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127933104100000X
PALW0174881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical