DR. YVETTE MARDIS PH.D., LCSW
NPI 1013906767
Social Worker - Clinical in Forest Hills, NY

Active since October 17, 2005
11021 73RD RD, SUITE 1J, FOREST HILLS, NY 11375(718) 699-8838(718) 699-8838 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Yvette Mardis Ph.d., Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YVETTE MARDIS PH.D., LCSW (NPI 1013906767) is an individual clinical provider in Forest Hills, New York, licensed in New York (R023446) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1013906767
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. YVETTE MARDISCredential: PH.D., LCSW
Location Address11021 73RD RD, SUITE 1JForest Hills, NY 11375-6348
Mailing Address11021 73rd Rd, 1jForest Hills, NY 11375-6348 · (718) 699-8838 · Fax (718) 699-8838
Fax(718) 699-8838
Sole ProprietorYes
Enumeration DateOctober 17, 2005
Last NPPES UpdateDecember 15, 2014
NPI 1013906767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · R023446 Licensed in NC · C005483
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

11021 73RD RD, Forest Hills, NY 11375

Other Identifiers 1

Medicare ID-Type Unspecified0068311 ANY

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
11021 73RD RD, SUITE 1-J
FOREST HILLS, NY 11375
Social Worker (Clinical)
11021 73RD RD, SUITE 1J
FOREST HILLS, NY 11375
Social Worker (Clinical)
11021 73RD RD
FOREST HILLS, NY 11375
Psychologist
11021 73RD RD, SUITE 1J
FOREST HILLS, NY 11375
Social Worker (Clinical)
11021 73RD RD, APARTMENT 1J
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yvette Mardis's NPI number?

The NPI number for Yvette Mardis is 1013906767. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Yvette Mardis located?

Yvette Mardis practices at 11021 73rd Rd Suite 1J, Forest Hills, NY 11375. The listed phone number is (718) 699-8838.

What is Yvette Mardis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Yvette Mardis was last updated on December 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.