Individual provider · Type 1 NPI

Yvette Mardis, PhD, LCSW

Clinical Social Worker · Forest Hills, NY

NPI number 1013906767 Active

Practice location

11021 73rd Rd, Suite 1J
Forest Hills, NY 11375-6348

Fax (718) 699-8838

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	R023446 (NY)
Clinical Social Worker	1041C0700X	C005483 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013906767

Yvette Mardis, PhD, LCSW's National Provider Identifier is 1013906767, issued on Oct 17, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Hills, NY. The record was last updated on Dec 15, 2014.