Individual
MRS. BETTINA YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 MELVILLE PARK RD STE 53, MELVILLE, NY 11747-3175
(631) 204-3434
(917) 997-8950
Mailing address
PO BOX 895123, LEESBURG, FL 34789-5123
(516) 351-1912
(917) 997-8950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081223
NY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03213238
—
NY
01
—
081223-1
LICENSE
NY
01
—
6849690
LICENSE
NY
01
—
SW19991
LICENSE
FL
Enumeration date
09/14/2009
Last updated
10/23/2024
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