Provider Demographics
NPI:1477881068
Name:YIM, YVONNE B (MSW LCSW DCSW)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:B
Last Name:YIM
Suffix:
Gender:F
Credentials:MSW LCSW DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 MCKINLEY STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2129
Mailing Address - Country:US
Mailing Address - Phone:808-469-2161
Mailing Address - Fax:
Practice Address - Street 1:1920 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2129
Practice Address - Country:US
Practice Address - Phone:808-469-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI30151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical