MEDICARE: YVONNE KAWAMURA LMSW, LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	129851-01	NY

General Provider Information

NPI Number	:	1265391114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE KAWAMURA LMSW, LMT

Provider Business Mailing Address
First Line	:	982 WILLOUGHBY AVE APT 3B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-7958
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	982 WILLOUGHBY AVE APT 3B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-7958
Country	:	US
Telephone Number	:	949-697-6607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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