Active NPI
Monika W Yen, LCSW
- Clinical Social Worker
- San Juan Capistrano, CA
National Provider Identifier
1902081300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28779
- Practice address
- 32242 Paseo Adelanto
Suite D-3
San Juan Capistrano, CA 92675-3610 - Phone
- (949) 903-4218
- Fax
- (949) 499-4218
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28779 | CA | Primary |
Addresses
Primary practice location
32242 Paseo Adelanto
Suite D-3
San Juan Capistrano, CA 92675-3610
Mailing address
32242 Paseo Adelanto
Suite D-3
San Juan Capistrano, CA 92675-3610
Phone (949) 903-4218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28779 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1902081300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32242 PASEO ADELANTO",
"address_2": "SUITE D-3",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753610",
"telephone_number": "949-903-4218",
"fax_number": "949-499-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32242 PASEO ADELANTO",
"address_2": "SUITE D-3",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753610",
"telephone_number": "949-903-4218",
"fax_number": "949-499-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "MONIKA",
"middle_name": "W",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.