Individual provider · Type 1 NPI

Yanette Leticia Tactuk, LCSW-R

Clinical Social Worker · East Elmhurst, NY

NPI number 1205104221 Active

Practice location

3119 89th St Apt 1B
East Elmhurst, NY 11369-1446

Call (646) 226-6979 Map

Other practice locations

  • 101 5th Ave Fl 5, New York, NY 10003-1008 · (646) 849-4146

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X082509-1 (NY)

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 1205104221

Yanette Leticia Tactuk, LCSW-R's National Provider Identifier is 1205104221, issued on Dec 5, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Elmhurst, NY. The record was last updated on Jul 30, 2025.