Provider Demographics
NPI:1922771435
Name:LEE, YE RIN (LMSW)
Entity Type:Individual
Prefix:
First Name:YE
Middle Name:RIN
Last Name:LEE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:16700 CHATSWORTH ST APT G1
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6524
Mailing Address - Country:US
Mailing Address - Phone:818-577-7941
Mailing Address - Fax:
Practice Address - Street 1:16700 CHATSWORTH ST APT G1
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6524
Practice Address - Country:US
Practice Address - Phone:818-577-7941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103373104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker