Provider Demographics
NPI:1598518532
Name:YEE, STACEY TSAI (ACSW)
Entity Type:Individual
Prefix:MISS
First Name:STACEY
Middle Name:TSAI
Last Name:YEE
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FOREST PARK BLVD APT 230
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-5549
Mailing Address - Country:US
Mailing Address - Phone:408-375-8073
Mailing Address - Fax:
Practice Address - Street 1:3585 MAPLE ST STE 246
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9104
Practice Address - Country:US
Practice Address - Phone:805-625-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1175841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical