Provider Demographics
NPI:1275354292
Name:WOODS, YANNASHET MISSALE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:YANNASHET
Middle Name:MISSALE
Last Name:WOODS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24144 GILMORE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3119
Mailing Address - Country:US
Mailing Address - Phone:323-707-5956
Mailing Address - Fax:
Practice Address - Street 1:24144 GILMORE ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3119
Practice Address - Country:US
Practice Address - Phone:323-707-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical