Provider Demographics
NPI:1215282504
Name:TORRES, YAHAIRA N (LCSW)
Entity type:Individual
Prefix:MISS
First Name:YAHAIRA
Middle Name:N
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N RIVERSIDE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5922
Mailing Address - Country:US
Mailing Address - Phone:708-603-9499
Mailing Address - Fax:
Practice Address - Street 1:505 N RIVERSIDE DR STE 201
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5922
Practice Address - Country:US
Practice Address - Phone:708-603-9499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0191501041C0700X
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1215282504Medicaid