=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154863405
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YOLANDA YVETTE ARCE A.S.W.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2016
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12623 AVENUE 416
-----------------------------------------------------
City | OROSI
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93647-2017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-528-6931
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12623 AVENUE 416
-----------------------------------------------------
City | OROSI
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93647-2017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-528-4763
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 124969
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------