Provider Demographics
NPI:1497441091
Name:GOE, STEVEN JOHN (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOHN
Last Name:GOE
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 1:1217 VIA VIENTO SUAVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-5263
Mailing Address - Country:US
Mailing Address - Phone:858-603-2160
Mailing Address - Fax:
Practice Address - Street 1:1217 VIA VIENTO SUAVE
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-5263
Practice Address - Country:US
Practice Address - Phone:858-603-2160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical