Provider Demographics
NPI:1629294525
Name:YELLIN, SALLY A (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:A
Last Name:YELLIN
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 1:139 VAN AERNEM ROAD
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020
Mailing Address - Country:US
Mailing Address - Phone:518-885-2652
Mailing Address - Fax:
Practice Address - Street 1:179 LAWRENCE STREET
Practice Address - Street 2:COMMUNITY HOSPICE OF SARATOGA
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866
Practice Address - Country:US
Practice Address - Phone:518-581-0800
Practice Address - Fax:518-581-9460
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker