Provider Demographics
NPI:1609418383
Name:YAGHAN, LENA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LENA
Middle Name:
Last Name:YAGHAN
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 1:439 RINGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WANAQUE
Mailing Address - State:NJ
Mailing Address - Zip Code:07465-2213
Mailing Address - Country:US
Mailing Address - Phone:973-277-2705
Mailing Address - Fax:
Practice Address - Street 1:439 RINGWOOD AVE
Practice Address - Street 2:
Practice Address - City:WANAQUE
Practice Address - State:NJ
Practice Address - Zip Code:07465-2213
Practice Address - Country:US
Practice Address - Phone:973-277-2705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058659001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical