Healthcare Provider Details

I. General information

NPI: 1558201541
Provider Name (Legal Business Name): SKYE YALMAN LCSW, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HUDSON STREET
HACKENSACK NJ
07601
US

IV. Provider business mailing address

34-9 BAILEY AVE
OAKLAND NJ
07436-1833
US

V. Phone/Fax

Practice location:
  • Phone: 201-336-3312
  • Fax:
Mailing address:
  • Phone: 201-310-6264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00374100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06628200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: