MEDICARE: YANLIN TSO 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	CSW008283	GA
2	1041C0700X	Clinical Social Worker	SW17203	FL
3	1041C0700X	Clinical Social Worker	LW70028476	WA

General Provider Information

NPI Number	:	1871112722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANLIN TSO LCSW

Provider Business Mailing Address
First Line	:	541 MARTIN RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-1318
Country	:	US
Telephone Number	:	678-579-7307
Fax Number	:

Provider Business Practice Location Address
First Line	:	541 MARTIN RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-1318
Country	:	US
Telephone Number	:	678-579-7307
Fax Number	:

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	02/02/2026

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