Healthcare Provider Details

I. General information

NPI: 1104297456
Provider Name (Legal Business Name): YARINET VALLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 JEFFERSON BLVD UNIT 1A
WARWICK RI
02888-3845
US

IV. Provider business mailing address

303 JEFFERSON BLVD UNIT 1A
WARWICK RI
02888-3845
US

V. Phone/Fax

Practice location:
  • Phone: 401-540-7370
  • Fax:
Mailing address:
  • Phone: 401-540-7370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW04398
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: