Provider Demographics
NPI:1932291192
Name:YOST, JOHN WILSON (MSW WITH CA LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILSON
Last Name:YOST
Suffix:
Gender:M
Credentials:MSW WITH CA LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 578100
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357
Mailing Address - Country:US
Mailing Address - Phone:209-883-2947
Mailing Address - Fax:209-883-9392
Practice Address - Street 1:603 WEST F STREET
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CA
Practice Address - Zip Code:95354
Practice Address - Country:US
Practice Address - Phone:209-883-2947
Practice Address - Fax:209-883-9392
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA080271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical