Provider Demographics
NPI:1760240535
Name:ZINKEVICH, YULIYA (LCSW)
Entity Type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:ZINKEVICH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:ZINKEVICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:615 HAMPSHIRE RD APT 353
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2320
Mailing Address - Country:US
Mailing Address - Phone:747-282-9097
Mailing Address - Fax:
Practice Address - Street 1:16111 PLUMMER ST BLDG 20
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1166321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical