Provider Demographics
NPI:1659880664
Name:AGUIRRE, YESSENIA ORDAZ (LCSW)
Entity Type:Individual
Prefix:
First Name:YESSENIA
Middle Name:ORDAZ
Last Name:AGUIRRE
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 1:350 E SILVA ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-6838
Mailing Address - Country:US
Mailing Address - Phone:562-357-0744
Mailing Address - Fax:
Practice Address - Street 1:350 E SILVA ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-6838
Practice Address - Country:US
Practice Address - Phone:562-357-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1167091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical