Healthcare Provider Details

I. General information

NPI: 1659575397
Provider Name (Legal Business Name): MARGARET JANE YARNELL M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 FREEDOM BLVD STE F
WATSONVILLE CA
95076-2752
US

IV. Provider business mailing address

1400 EMELINE AVE BLDG K
SANTA CRUZ CA
95060-1976
US

V. Phone/Fax

Practice location:
  • Phone: 831-763-8247
  • Fax: 831-783-8282
Mailing address:
  • Phone: 831-454-4417
  • Fax: 831-454-4916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW 6144
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number24029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: