Provider Demographics
NPI:1336705995
Name:YANKEY, AMELIA LYNNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:LYNNE
Last Name:YANKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 CONEY ISLAND AVE # 2060
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1843
Mailing Address - Country:US
Mailing Address - Phone:914-294-4995
Mailing Address - Fax:
Practice Address - Street 1:348 CONEY ISLAND AVE # 2060
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1843
Practice Address - Country:US
Practice Address - Phone:914-294-4995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-19
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0883731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical