Provider Demographics
NPI:1609992643
Name:YANEZ, JOSIE A (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JOSIE
Middle Name:A
Last Name:YANEZ
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 1:1215 RIVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1077
Mailing Address - Country:US
Mailing Address - Phone:214-434-3188
Mailing Address - Fax:972-222-7008
Practice Address - Street 1:1215 RIVERCREST DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1077
Practice Address - Country:US
Practice Address - Phone:214-434-3188
Practice Address - Fax:972-222-7008
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13135171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator