Provider Demographics
NPI:1861083362
Name:TOWVER, YENI (LCSW)
Entity type:Individual
Prefix:
First Name:YENI
Middle Name:
Last Name:TOWVER
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 1:15200 HESPERIAN BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-3927
Mailing Address - Country:US
Mailing Address - Phone:760-610-0227
Mailing Address - Fax:
Practice Address - Street 1:15200 HESPERIAN BLVD STE 202
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-3927
Practice Address - Country:US
Practice Address - Phone:760-936-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW992681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical