MEDICARE: YUANYUAN YU MSW

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	SW134526	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619405131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUANYUAN YU MSW

Provider Business Mailing Address
First Line	:	6787 MARKET ST
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1848
Country	:	US
Telephone Number	:
Fax Number	:	610-352-8001

Provider Business Practice Location Address
First Line	:	6787 MARKET ST
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1848
Country	:	US
Telephone Number	:	215-593-7768
Fax Number	:	610-352-8001

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

Provider Enumeration Date	:	05/29/2017
Last Update Date	:	07/21/2022

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Directions to “ YUANYUAN YU MSW” Practice Location

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