MEDICARE: MS. YOLANDA YVETTE WHITTINGTON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013076033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOLANDA YVETTE WHITTINGTON LCSW

Provider Business Mailing Address
First Line	:	PO BOX 56145
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90056-0145
Country	:	US
Telephone Number	:	213-291-9039
Fax Number	:	323-291-0195

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 219
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3616
Country	:	US
Telephone Number	:	213-291-9039
Fax Number	:	323-291-0195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	01/20/2022

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