Provider Demographics
NPI:1982784922
Name:TAYLOR, YVETTE (LCSWR)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PARK PL
Mailing Address - Street 2:APT 3J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4354
Mailing Address - Country:US
Mailing Address - Phone:347-240-0153
Mailing Address - Fax:347-240-0153
Practice Address - Street 1:225 PARK PL
Practice Address - Street 2:APT 3J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4354
Practice Address - Country:US
Practice Address - Phone:347-240-0153
Practice Address - Fax:347-240-0153
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR014797-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical