Provider Demographics
NPI:1902374838
Name:CENA, ANASTACIO JR (LCSW)
Entity type:Individual
Prefix:
First Name:ANASTACIO
Middle Name:
Last Name:CENA
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 IMPERIAL HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-1419
Mailing Address - Country:US
Mailing Address - Phone:562-807-6100
Mailing Address - Fax:
Practice Address - Street 1:12501 IMPERIAL HWY STE 400
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-1419
Practice Address - Country:US
Practice Address - Phone:562-807-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA826881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical