Provider Demographics
NPI:1265977276
Name:LIRIANO, YOLANDA (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:LIRIANO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ELLSWORTH STREET
Mailing Address - Street 2:#2
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114
Mailing Address - Country:US
Mailing Address - Phone:860-299-3126
Mailing Address - Fax:
Practice Address - Street 1:474R SCHOOL ST
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-1149
Practice Address - Country:US
Practice Address - Phone:860-731-8811
Practice Address - Fax:860-731-8813
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009412104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker