Provider Demographics
NPI:1831230325
Name:YARNOLD, MARK SCOTT (LCSW)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:SCOTT
Last Name:YARNOLD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NE MIAMI GARDENS DR # 206-C
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4845
Mailing Address - Country:US
Mailing Address - Phone:305-761-1508
Mailing Address - Fax:305-354-7664
Practice Address - Street 1:1400 NE MIAMI GARDENS DR # 206-C
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4845
Practice Address - Country:US
Practice Address - Phone:305-761-1508
Practice Address - Fax:305-354-7664
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW25651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical