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General NPI Number Information
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NPI Number | 1477015451
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Entity Type | Individual
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Provider Name | MICHELLE ROSE YANNIELLO LICSW, LCSW, CCFC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1200 G ST NW STE 800
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City | WASHINGTON
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State | DC
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Zip | 20005-6705
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 1109 M ST NW APT 8
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City | WASHINGTON
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State | DC
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Zip | 20005-4371
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Country | US
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Telephone | 631-921-3440
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904012900
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50082737
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 29192
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License Number State | DC
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