Provider Demographics
NPI:1861647273
Name:WALFISH, YAEL (MSW)
Entity Type:Individual
Prefix:MRS
First Name:YAEL
Middle Name:
Last Name:WALFISH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 KENSINGTON TER
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5331
Mailing Address - Country:US
Mailing Address - Phone:917-376-4680
Mailing Address - Fax:
Practice Address - Street 1:65 KENSINGTON TER
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5331
Practice Address - Country:US
Practice Address - Phone:917-376-4680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0601141041C0700X
NJ44SL053751001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical