Pena, Yazmin

Pena, Yazmin is an individual health care provider with primary practice located at 3850 W Flagler St , Coral Gables FL 33134-1604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pena, Yazmin can be contacted via phone (305) 398-6100.

Contact Information

Primary practice address
3850 W Flagler St Coral Gables FL 33134-1604
Phone: (305) 398-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19637 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088293 New York

Profile Details

NPI number 1659773091
LBN Legal business name Pena, Yazmin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Oct 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659773091 NPPES
New York MEDICAID 06273789
New York MEDICAID 114026500

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