Healthcare Provider Details

I. General information

NPI: 1841703501
Provider Name (Legal Business Name): BRANDY YEAROUT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 N ARGONNE RD STE 100
SPOKANE VALLEY WA
99212-6011
US

IV. Provider business mailing address

1050 N ARGONNE RD STE 100
SPOKANE VALLEY WA
99212-6011
US

V. Phone/Fax

Practice location:
  • Phone: 509-209-8990
  • Fax: 509-919-4877
Mailing address:
  • Phone: 509-209-8990
  • Fax: 509-919-4877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61423039
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: