Provider Demographics
NPI:1558786277
Name:NYAGGAH, ESTER RAHA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ESTER RAHA
Middle Name:
Last Name:NYAGGAH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RAHA ESTER
Other - Middle Name:NGEEMBI
Other - Last Name:NYAGGAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11201 BENTON ST # MC-122
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-1000
Mailing Address - Country:US
Mailing Address - Phone:099-825-7084
Mailing Address - Fax:
Practice Address - Street 1:11201 BENTON ST # MC-122
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-1000
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1084861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical