Doctor Name: | SAMANTHA LOUISE YERKS |
NPI Number: | 1336374750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW LGSW |
License Number: | 302641 |
Business Practice Address: | 4725 Excelsior Blvd Ste 400 Minneapolis, MN - 554163047 |
Business Phone Number: | 6512718970 |
Business Fax Number: | |
Mailing Address: | 5701 Emerson Ave N, MINNEAPOLIS |
State: | MN |
Postal Code: | 554302656 |
Phone Number: | 6512718970 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2009 |
NPI Last Update Date: | 02/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 302641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |