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NPI 1497470280

NPI 1497470280 : MERCEDES YATES-JONES LCSW : WINFIELD, IL

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General NPI Number Information
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    NPI Number           |    1497470280
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    Entity Type          |    Individual 
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    Provider Name        |    MERCEDES YATES-JONES LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2022
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    1N131 COUNTY FARM RD STE 111 
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    City                 |    WINFIELD
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    State                |    IL
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    Zip                  |    60190-2000
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    Country              |    US
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    Telephone            |    312-774-4677
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    Fax                  |    312-564-5151
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Provider Business Mailing Address
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    Address Line         |    1532 WATKINS LN UNIT 211 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60540-9270
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    Country              |    US
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    Telephone            |    312-774-4677
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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       |    0904019032
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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       |    149029075
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    License Number State |    IL
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