DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. YVETTE MARDIS, PH.D., LCSW

Active Sole Proprietor

Clinical Social Worker · FOREST HILLS, NY

Registration Details

NPI Number
1013906767
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2005 (20.513275710324 yrs)
Last Updated
Dec 15, 2014
Licenses
R023446 (NY)
C005483 (NC)
Sole Proprietor
Yes

Practice Information

Address
11021 73RD RD
SUITE 1J
FOREST HILLS, NY, 113756348
Browse NY providers · Browse ZIP 11375
Phone
7186998838
Fax
7186998838
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FOREST HILLS, NY

Name Credential NPI
MS. MARCIA G. WEISMAN LCSW 1558364554
MR. OTTO MICHAEL BERK LCSW 1225033525
MS. MARIE DI BENEDETTO LCSW 1205813870
MS. NANCY L. WOHL LCSW, MA, CGP 1477528685
MR. BERNIE MICHAEL GLINTZ LCSW 1689649550
MS. SELENA JACOBSONPEREZ LCSW 1326009416
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.