Provider Demographics
NPI:1902081300
Name:YEN, MONIKA W (LCSW)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:W
Last Name:YEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32242 PASEO ADELANTO
Mailing Address - Street 2:SUITE D-3
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3610
Mailing Address - Country:US
Mailing Address - Phone:949-903-4218
Mailing Address - Fax:949-499-4218
Practice Address - Street 1:32242 PASEO ADELANTO
Practice Address - Street 2:SUITE D-3
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3610
Practice Address - Country:US
Practice Address - Phone:949-903-4218
Practice Address - Fax:949-499-4218
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA287791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical