Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Yvette Mardis, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1013906767

Dr. Yvette Mardis, PHD, LCSW is a Clinical Social Worker in Forest Hills, New York. Practices as a sole proprietor. Licensed in North Carolina and New York.

Licensed in
NC, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11021 73rd Rd Ste 1J
Forest Hills, NY 11375-6348
Phone: (718) 699-8838
Fax: (718) 699-8838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R023446 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005483 (NC)

Record details

NPI number1013906767
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedOctober 17, 2005
Last updated in NPPESDecember 15, 2014

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