MEDICARE: JILL DUNCAN YEATES MSW, LCSW-BACS

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	8552	LA

General Provider Information

NPI Number	:	1770732471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL DUNCAN YEATES MSW, LCSW-BACS

Provider Business Mailing Address
First Line	:	146 WOODSTOCK DR
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-5415
Country	:	US
Telephone Number	:	337-257-3522
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 KALISTE SALOOM RD STE 203A-G
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6182
Country	:	US
Telephone Number	:	337-257-3522
Fax Number	:

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

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	03/19/2026

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