Provider Demographics
NPI:1790081636
Name:SIMPSON, YAALIETH ADRIENNE (EDD, LMSW)
Entity Type:Individual
Prefix:DR
First Name:YAALIETH
Middle Name:ADRIENNE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:EDD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 GRAND ST
Mailing Address - Street 2:SUITE H9A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4262
Mailing Address - Country:US
Mailing Address - Phone:212-614-0433
Mailing Address - Fax:
Practice Address - Street 1:550 GRAND ST
Practice Address - Street 2:SUITE H9A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4262
Practice Address - Country:US
Practice Address - Phone:212-614-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101326101104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker