Healthcare Provider Details

I. General information

NPI: 1720612765
Provider Name (Legal Business Name): DAVID A. YOVINO MSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 BARCLAY ST
NETWON PA
18940
US

IV. Provider business mailing address

PO BOX 173
BENSALEM PA
19020-0173
US

V. Phone/Fax

Practice location:
  • Phone: 631-953-1027
  • Fax:
Mailing address:
  • Phone: 631-953-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW135809
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: