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

MS. Yanette Leticia Tactuk, LCSW-R

Individual provider Clinical Social Worker · NPI 1205104221

MS. Yanette Leticia Tactuk, LCSW-R is a Clinical Social Worker in East Elmhurst, New York. Works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

3119 89th St Apt 1B
East Elmhurst, NY 11369-1446
Phone: (646) 226-6979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 5th Ave Fl 5, New York, NY 10003-1008 — (646) 849-4146

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 082509-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X (NJ)

Record details

NPI number1205104221
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedDecember 5, 2011
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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