Provider Demographics
NPI:1922146075
Name:JEE, YOONJIN (LCSW, CASAC)
Entity Type:Individual
Prefix:MS
First Name:YOONJIN
Middle Name:
Last Name:JEE
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 E VIEW CT
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753
Mailing Address - Country:US
Mailing Address - Phone:917-744-1569
Mailing Address - Fax:516-719-0459
Practice Address - Street 1:42 E VIEW CT
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753
Practice Address - Country:US
Practice Address - Phone:917-744-1569
Practice Address - Fax:516-719-0459
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18191101YA0400X
NY061347-11041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY076166-1OtherLCSW