Champlin, Stephenie R

Champlin, Stephenie R is an sole proprietor health care provider with primary practice located at 3505 Cadillac Ave Bldg O, Suite 109, Costa Mesa CA 92626-1429. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Champlin, Stephenie R can be contacted via phone (714) 432-9856.

Contact Information

Primary practice address
3505 Cadillac Ave Bldg O, Suite 109 Costa Mesa CA 92626-1429
Phone: (714) 432-9856
Fax: (714) 432-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 74243 California

Profile Details

NPI number 1710257936
LBN Legal business name Champlin, Stephenie R
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2012
Last updated Nov 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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