Provider Demographics
NPI:1417177692
Name:VARVITSIOTES, YANNINA CALLOIPE (SOCILA WORLER)
Entity type:Individual
Prefix:MS
First Name:YANNINA
Middle Name:CALLOIPE
Last Name:VARVITSIOTES
Suffix:
Gender:F
Credentials:SOCILA WORLER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 CORAL TREE CIR APT 167
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4469
Mailing Address - Country:US
Mailing Address - Phone:917-287-5236
Mailing Address - Fax:
Practice Address - Street 1:4161 CORAL TREE CIR APT 167
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4469
Practice Address - Country:US
Practice Address - Phone:917-287-5236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058557-1104100000X
NYR071830-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker