MEDICARE: BRITTANY YATES

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	104100000X	Social Worker	15526	MD

General Provider Information

NPI Number	:	1336956945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY YATES

Provider Business Mailing Address
First Line	:	2400 LAKE FOREST DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-8983
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 LAKE FOREST DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-8983
Country	:	US
Telephone Number	:	240-393-3831
Fax Number	:

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

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	12/17/2024

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Directions to “ BRITTANY YATES ” Practice Location

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