Healthcare Provider Details

I. General information

NPI: 1184537458
Provider Name (Legal Business Name): YOSELIN ALICE SANCHEZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 VAN WAGNER RD
POUGHKEEPSIE NY
12603-1341
US

IV. Provider business mailing address

107 VAN WAGNER RD
POUGHKEEPSIE NY
12603-1341
US

V. Phone/Fax

Practice location:
  • Phone: 914-758-3655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133810
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: