Provider Demographics
NPI:1578876504
Name:COSPEWICZ, STEVEN IVAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:IVAN
Last Name:COSPEWICZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:IVAN
Other - Last Name:SINKEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2119
Mailing Address - Country:US
Mailing Address - Phone:213-680-6300
Mailing Address - Fax:213-865-6274
Practice Address - Street 1:224 E 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-2119
Practice Address - Country:US
Practice Address - Phone:213-680-6300
Practice Address - Fax:213-895-6274
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA656731041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical