Provider Demographics
NPI:1235439829
Name:STEIN, CLAUDIA R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:R
Last Name:STEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 LAS POSAS RD APT 103
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5723
Mailing Address - Country:US
Mailing Address - Phone:805-603-0841
Mailing Address - Fax:855-380-5459
Practice Address - Street 1:601 E DAILY DR STE 210
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010
Practice Address - Country:US
Practice Address - Phone:323-459-4968
Practice Address - Fax:855-380-5459
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21322104100000X
CALCS#213221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1235439829OtherNPI
CA1235439829Medicaid
T092820170003641OtherCLAUDIA STEIN
CA1235439829OtherKAISER PERMANENTE
CA1235439829OtherBLUE SHIELD