Provider Demographics
NPI:1770640542
Name:REES, YVETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:
Last Name:REES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:13801 WEST 138TH ST.
Mailing Address - Street 2:APT. 201
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5081
Mailing Address - Country:US
Mailing Address - Phone:914-261-6373
Mailing Address - Fax:
Practice Address - Street 1:4106 CENTRAL
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:64111
Practice Address - Country:US
Practice Address - Phone:914-261-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0538081041C0700X
MO20150397991041C0700X
KSLSCSW45061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00550101Medicaid
NY298673OtherHEALTHNET
NYN648V1Medicare PIN