Healthcare Provider Details

I. General information

NPI: 1538678313
Provider Name (Legal Business Name): ZOE SKYLER YEATON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MARKET ST STE 3600
PHILADELPHIA PA
19103-7334
US

IV. Provider business mailing address

214 COLLEGE PARK PLZ
JOHNSTOWN PA
15904-2833
US

V. Phone/Fax

Practice location:
  • Phone: 833-419-0181
  • Fax:
Mailing address:
  • Phone: 814-262-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW025474
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: