Provider Demographics
NPI:1417154097
Name:YU, JAINE J (LCSW)
Entity Type:Individual
Prefix:
First Name:JAINE
Middle Name:J
Last Name:YU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAINE JIA
Other - Middle Name:L
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2480 IRVINE BLVD APT 400
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-8039
Mailing Address - Country:US
Mailing Address - Phone:949-533-5817
Mailing Address - Fax:
Practice Address - Street 1:1188 N EUCLID ST # 500
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1900
Practice Address - Country:US
Practice Address - Phone:714-254-2845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 226451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical