Yates, Jacqueline S
Yates, Jacqueline S is an individual health care provider with primary practice located at 1463 Flatbush Ave , Brooklyn NY 11210-2428. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Yates, Jacqueline S can be contacted via phone (718) 951-9009.Contact Information
Primary practice address
1463 Flatbush Ave
Brooklyn NY 11210-2428
Phone: (718) 951-9009
Fax: (718) 951-9719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4065 | New York |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 074090 | New York |
Profile Details
| NPI number | 1134280050 |
|---|---|
| LBN Legal business name | Yates, Jacqueline S |
| Credentials | L.M.S.W., C.A.S.A.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Aug 1st, 2011 - about 15 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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