Provider Demographics
NPI:1629759618
Name:BATTLE, YVETTE A (LMSW,CASAC,BCCC)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:A
Last Name:BATTLE
Suffix:
Gender:F
Credentials:LMSW,CASAC,BCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 VALENTINE LN APT 3E
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-3468
Mailing Address - Country:US
Mailing Address - Phone:914-979-4187
Mailing Address - Fax:
Practice Address - Street 1:106 VALENTINE LN APT 3E
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-3468
Practice Address - Country:US
Practice Address - Phone:914-979-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11640104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty