Provider Demographics
NPI:1104527605
Name:YEUNG, TIN YAN (LMSW)
Entity type:Individual
Prefix:
First Name:TIN YAN
Middle Name:
Last Name:YEUNG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 5TH AVE APT 204A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3413
Mailing Address - Country:US
Mailing Address - Phone:408-382-9197
Mailing Address - Fax:
Practice Address - Street 1:749 61ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5162
Practice Address - Country:US
Practice Address - Phone:718-362-6311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11577801104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker