Provider Demographics
NPI:1144469909
Name:YANAGINO, YUKARI (PHD, LCSW-R)
Entity type:Individual
Prefix:DR
First Name:YUKARI
Middle Name:
Last Name:YANAGINO
Suffix:
Gender:F
Credentials:PHD, LCSW-R
Other - Prefix:DR
Other - First Name:YUKARI
Other - Middle Name:
Other - Last Name:YANAGINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW-R
Mailing Address - Street 1:95 SAINT MARKS PL APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5107
Mailing Address - Country:US
Mailing Address - Phone:212-673-0446
Mailing Address - Fax:
Practice Address - Street 1:95 SAINT MARKS PL
Practice Address - Street 2:APT 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-5107
Practice Address - Country:US
Practice Address - Phone:212-673-0446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071562-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02438700Medicaid