Lisa Goodman Yanku, LCSW | |
1337 E Garrison Blvd, Gastonia, NC 28054-5127 | |
(704) 834-2000 | |
(704) 854-3086 |
Full Name | Lisa Goodman Yanku |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 1337 E Garrison Blvd, Gastonia, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568470367 | NPI | - | NPPES |
62-67493 | Other | RI | UBH |
408503 | Other | RI | BLUE CHIP |
30118-1 | Other | RI | BLUE CROSS |
LY10977 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW00498 (Rhode Island) | Secondary |
1041C0700X | Social Worker - Clinical | C009243 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
One Medical, P.c. | 3375872369 | 12 |
Caromont Medical Group Inc | 3577476258 | 347 |
Entity Name | Caromont Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Entity Name | One Medical, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144886839 PECOS PAC ID: 3375872369 Enrollment ID: O20190917003087 |
Mailing Address | Practice Location Address |
---|---|
Lisa Goodman Yanku, LCSW Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2000 | Lisa Goodman Yanku, LCSW 1337 E Garrison Blvd, Gastonia, NC 28054-5127 Ph: (704) 834-2000 |
Yvette C Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-917-7610 Fax: 704-917-7615 | |
Lane Cassidy Tesseneer, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 S Chestnut St, Gastonia, NC 28054 Phone: 704-865-3525 | |
Mrs. Jeanie Jefferies, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 S New Hope Rd, Gastonia, NC 28054 Phone: 704-476-4090 | |
Saskia Dorgeloh, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 W Franklin Blvd, Gastonia, NC 28052 Phone: 704-865-3525 | |
Julia Bateman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 S Chestnut St, Gastonia, NC 28054 Phone: 704-865-3525 | |
Danielle Falk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2550 Court Dr Ste 103, Gastonia, NC 28054 Phone: 704-215-5822 | |
Jacquelinne Aguilera Maya, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 S Oakland St, Gastonia, NC 28052 Phone: 704-874-9005 |