DR. YVETTE MARDIS (NPI# 1013906767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013906767 |
| Entity Type | Individual |
| Full Name | DR. YVETTE MARDIS |
| Credential | PH.D., LCSW |
| Practice Address |
11021 73rd Rd Suite 1j Forest Hills NY 11375-6348 |
| Mailing Address |
11021 73rd Rd 1j Forest Hills NY 11375-6348 |
| Practice Telephone | 7186998838 |
| Practice Fax Number | 7186998838 |
| Mailing Telephone | 7186998838 |
| Mailing Fax Number | 7186998838 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2014-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C005483 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R023446 | NY | Behavioral Health & Social Service Providers |
| Street Address |
11021 73RD RD SUITE 1J |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387517 | Robert A Burns | Psychologist | 11021 73rd Rd, Suite 1j, Forest Hills, NY 11375-6348 | 2007-05-21 |
| 1528282589 | Claire Fleming | Social Worker | 11021 73rd Rd, Forest Hills, NY 11375-6348 | 2007-04-12 |
| 1700916558 | Christine Fischer | Social Worker | 11021 73rd Rd, Apartment 1j, Forest Hills, NY 11375-6348 | 2007-03-07 |
| 1467538751 | Jan Miner | Social Worker | 11021 73rd Rd, Suite 1j, Forest Hills, NY 11375-6348 | 2006-10-28 |
| 1194816736 | Gayle Parker | Psychologist | 11021 73rd Rd, Apt 1j, Forest Hills, NY 11375-6348 | 2006-09-27 |
| 1003844861 | Julia Ann Becker | Psychiatry & Neurology | 11021 73rd Rd, Suite 1-j, Forest Hills, NY 11375-6348 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451640 | Maria J Mendoza | Social Worker | 6861 Yellowstone Blvd Ste 106a, Forest Hills, NY 11375-3313 | 2020-03-05 |
| 1629623830 | Daniel Frater | Social Worker | 9415 68th Ave, Forest Hills, NY 11375-5135 | 2019-08-05 |
| 1255991451 | Meliza M Figueroa Torres | Social Worker | 10470 Queens Blvd Ste 500, Forest Hills, NY 11375-3694 | 2019-06-19 |
| 1093272957 | Marlene Wanton Cruz I | Social Worker | 9114 70th Ave, Forest Hills, NY 11375-5825 | 2019-02-27 |
| 1619475068 | Ken Mok | Social Worker | 10326 68th Rd Ste A1, Forest Hills, NY 11375-3263 | 2018-01-30 |
| 1558872630 | Joseph Appelbaum | Social Worker | Advanced Center for Psychotherpay, 10362 68th Rd. #a1, Forest Hills, NY 11375 | 2017-10-17 |
| 1992233217 | Renee Capell | Social Worker | 6820 Selfridge St Apt 2f, Forest Hills, NY 11375-5750 | 2017-05-31 |
| 1497280135 | Saul Martinez | Social Worker | 6767 Burns St, Apt 5j, Forest Hills, NY 11375-3555 | 2017-05-01 |
| 1942744578 | Frederick Gay | Social Worker | 10 Station Sq Apt R31, Forest Hills, NY 11375-8954 | 2016-12-16 |
| 1124479852 | Erin Lauinger | Social Worker | 9174 71st Rd # 2a, Forest Hills, NY 11375-6711 | 2016-06-23 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on DR. YVETTE MARDIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.