Provider Demographics
NPI:1093101602
Name:VAN STEENBERG, MARK (LCSW)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:VAN STEENBERG
Suffix:
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 1:1826 STEEL STREET
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8532
Mailing Address - Country:US
Mailing Address - Phone:720-460-7660
Mailing Address - Fax:303-648-6686
Practice Address - Street 1:1826 STEEL STREET
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-8532
Practice Address - Country:US
Practice Address - Phone:720-460-7660
Practice Address - Fax:303-648-6686
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099275201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical