Organization Active NPI

Suelen Yancor Licensed Clinical Social Worker Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
National Provider Identifier
1780480673
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SUELEN YANCOR LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Practice address
10401 Enger St
Bakersfield, CA 93312-2726
Phone
(818) 213-1045
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suelen D Yancor, LCSWNPI 1063621811
Title
Managing Director
Phone
(310) 341-6258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10401 Enger St
Bakersfield, CA 93312-2726

Mailing address

6104 Sepulveda Blvd # 1001
Van Nuys, CA 91411-2503
Phone (818) 213-1045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1780480673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 SEPULVEDA BLVD # 1001",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112503",
            "telephone_number": "818-213-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 ENGER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122726",
            "telephone_number": "818-213-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUELEN YANCOR LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "YANCOR",
        "authorized_official_first_name": "SUELEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "310-341-6258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.