Healthcare Provider Details

I. General information

NPI: 1508576877
Provider Name (Legal Business Name): YSERN THERAPY & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WOOD LN
ROCKVILLE MD
20850-2228
US

IV. Provider business mailing address

25 WOOD LN
ROCKVILLE MD
20850-2228
US

V. Phone/Fax

Practice location:
  • Phone: 240-507-8509
  • Fax:
Mailing address:
  • Phone: 240-507-8509
  • 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: MS. IRIS ELENA YSERN ZARRANZ
Title or Position: OWNER
Credential: LCSW-C, LICSW, LCSW
Phone: 240-507-8509