Provider Demographics
NPI:1487166468
Name:CHIEN, YU-AN (LCSW)
Entity type:Individual
Prefix:
First Name:YU-AN
Middle Name:
Last Name:CHIEN
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 1:2776 MATERA LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-6738
Mailing Address - Country:US
Mailing Address - Phone:440-381-9332
Mailing Address - Fax:
Practice Address - Street 1:2776 MATERA LN
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-6738
Practice Address - Country:US
Practice Address - Phone:440-381-9332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.15005481041C0700X
OHI.18008021041C0700X
CA873411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0261137Medicaid