Provider Demographics
NPI:1699660662
Name:MENDOZA-MENCHACA, YESENIA (LCSW)
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:MENDOZA-MENCHACA
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 1:19257 ROAD 236
Mailing Address - Street 2:
Mailing Address - City:STRATHMORE
Mailing Address - State:CA
Mailing Address - Zip Code:93267-9629
Mailing Address - Country:US
Mailing Address - Phone:747-273-7382
Mailing Address - Fax:
Practice Address - Street 1:19257 ROAD 236
Practice Address - Street 2:
Practice Address - City:STRATHMORE
Practice Address - State:CA
Practice Address - Zip Code:93267-9629
Practice Address - Country:US
Practice Address - Phone:747-273-7382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical