Provider Demographics
NPI:1720060809
Name:LAWRENCE, YVONNE MARIA (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MARIA
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:MARIA
Other - Last Name:SALCEDO LAWRENCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:27005 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:516-470-8222
Mailing Address - Fax:718-831-0368
Practice Address - Street 1:27005 76TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1402
Practice Address - Country:US
Practice Address - Phone:516-470-8222
Practice Address - Fax:718-831-0368
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0539191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical