Provider Demographics
NPI:1508018102
Name:STARNER, YVONNE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MARIE
Last Name:STARNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:MARIE
Other - Last Name:OGONOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:85 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:NY
Mailing Address - Zip Code:13077-1542
Mailing Address - Country:US
Mailing Address - Phone:607-753-3797
Mailing Address - Fax:607-753-6677
Practice Address - Street 1:24 GROTON AVE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-2014
Practice Address - Country:US
Practice Address - Phone:607-753-3774
Practice Address - Fax:607-753-3947
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0902731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07186414Medicaid