Provider Demographics
NPI:1518505791
Name:GARCIA-CORBY, YOLANDA E (LCSW)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:E
Last Name:GARCIA-CORBY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WINDBEAM AVE
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-1805
Mailing Address - Country:US
Mailing Address - Phone:862-668-3417
Mailing Address - Fax:
Practice Address - Street 1:30 WINDBEAM AVE
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-1805
Practice Address - Country:US
Practice Address - Phone:862-668-3417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 1041C0700X
NJ44SC063880001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker