Healthcare Provider Details

I. General information

NPI: 1477003499
Provider Name (Legal Business Name): REBECCA BISWAS YORK LAC, LMSW, MSW U/S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RINI YORK

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 E CHOCTAW AVE
SALLISAW OK
74955-4604
US

IV. Provider business mailing address

103189 S 4720 RD
MULDROW OK
74948-6298
US

V. Phone/Fax

Practice location:
  • Phone: 918-790-2292
  • Fax:
Mailing address:
  • Phone: 503-349-4391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20117
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number095
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: