Provider Demographics
NPI:1720612765
Name:YOVINO, DAVID A (MSW, LSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:YOVINO
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-0173
Mailing Address - Country:US
Mailing Address - Phone:631-953-1027
Mailing Address - Fax:
Practice Address - Street 1:17 BARCLAY ST
Practice Address - Street 2:
Practice Address - City:NETWON
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:631-953-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW135809104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty