Healthcare Provider Details

I. General information

NPI: 1447185020
Provider Name (Legal Business Name): JESSICA YATROFSKY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 PLAZA ST E
BROOKLYN NY
11238-5038
US

IV. Provider business mailing address

99 W 9TH ST APT 3C
BROOKLYN NY
11231-3293
US

V. Phone/Fax

Practice location:
  • Phone: 646-490-1930
  • Fax: 646-809-8580
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number131871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: