Healthcare Provider Details

I. General information

NPI: 1144156043
Provider Name (Legal Business Name): YANEZ PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2942 W NORTH AVE
CHICAGO IL
60647-6820
US

IV. Provider business mailing address

2942 W NORTH AVE
CHICAGO IL
60647-6820
US

V. Phone/Fax

Practice location:
  • Phone: 310-491-8196
  • Fax:
Mailing address:
  • Phone: 310-491-8196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LINDA CASTELLANOS YANEZ
Title or Position: THERAPIST / OWNER
Credential: LCSW
Phone: 310-491-8196