Provider Demographics
NPI:1134569577
Name:EISERIKE, YAEL (LCSW)
Entity type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:EISERIKE
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 1:3500 W OLIVE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4647
Mailing Address - Country:US
Mailing Address - Phone:310-359-0320
Mailing Address - Fax:
Practice Address - Street 1:3500 W OLIVE AVE STE 300
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4647
Practice Address - Country:US
Practice Address - Phone:310-359-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-30
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA750531041C0700X
CAASW621711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical