Benjamin Mindaro Yambao, LCSW
Social Worker, Clinical in Waterbury, CT. Individual provider (NPI-1).
NPI number1649925751
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1649925751
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Mindaro Yambao
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2022
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 15321 | CT | Yes |
Practice location
255 Bank St Fl 4Waterbury, CT 06702-2219
Phone 203-596-9724
Mailing address
255 Bank St Fl 4Waterbury, CT 06702-2219
Phone 203-596-9724
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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