Healthcare Provider Details

I. General information

NPI: 1477852770
Provider Name (Legal Business Name): LEMUEL YUTZY LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 1120
CHEVY CHASE MD
20815-5846
US

IV. Provider business mailing address

1201 DEKALB ST
NORRISTOWN PA
19401-3415
US

V. Phone/Fax

Practice location:
  • Phone: 610-279-9270
  • Fax: 610-279-4146
Mailing address:
  • Phone: 610-279-9270
  • Fax: 610-279-4146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW127933
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19457
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: