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NPI Code Detail

MEDICARE: YOLANDA CORIANO-TINOCO LCSW

MEDICARE:   YOLANDA  CORIANO-TINOCO  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
11041C0700XClinical Social Worker34004472AIN

General Provider Information

NPI Number : 1124093745
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA CORIANO-TINOCO LCSW
Provider Business Mailing Address
First Line : 818 SCHILLING DR
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-0101
Country : US
Telephone Number : 219-613-9111
Fax Number :
Provider Business Practice Location Address
First Line : 160 S WEST ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-3906
Country : US
Telephone Number : 219-613-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 04/28/2025

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Directions to “ YOLANDA CORIANO-TINOCO LCSW” Practice Location

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