Provider Demographics
NPI:1194125294
Name:NARIO, MARIA YVETTE CARREON (LMSW)
Entity type:Individual
Prefix:
First Name:MARIA YVETTE
Middle Name:CARREON
Last Name:NARIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:NARIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:290 LENOX AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4991
Mailing Address - Country:US
Mailing Address - Phone:212-289-2378
Mailing Address - Fax:
Practice Address - Street 1:290 LENOX AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4991
Practice Address - Country:US
Practice Address - Phone:212-289-2378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY092502OtherLMSW