Provider Demographics
NPI:1114201191
Name:YAPTANGCO, CINTHYA ALEJANDRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CINTHYA
Middle Name:ALEJANDRA
Last Name:YAPTANGCO
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 1:4004 BEYER BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN YSIDRO
Mailing Address - State:CA
Mailing Address - Zip Code:92173-2007
Mailing Address - Country:US
Mailing Address - Phone:619-428-5561
Mailing Address - Fax:
Practice Address - Street 1:1051 PICADOR BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-3548
Practice Address - Country:US
Practice Address - Phone:619-662-8372
Practice Address - Fax:619-662-8372
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76773104100000X, 1041C0700X
CA28755390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program