Healthcare Provider Details

I. General information

NPI: 1063732626
Provider Name (Legal Business Name): YI ZHANG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 81ST ST APT 6F
JACKSON HEIGHTS NY
11372-1319
US

IV. Provider business mailing address

3315 81ST ST APT 6F
JACKSON HEIGHTS NY
11372-1319
US

V. Phone/Fax

Practice location:
  • Phone: 917-657-8240
  • Fax:
Mailing address:
  • Phone: 917-657-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number081813
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: