Provider Demographics
NPI:1609927714
Name:STEPHENS, LIN (LCSW)
Entity Type:Individual
Prefix:
First Name:LIN
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32605 TEMECULA PKWY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6837
Mailing Address - Country:US
Mailing Address - Phone:951-970-0002
Mailing Address - Fax:951-695-3229
Practice Address - Street 1:32605 TEMECULA PKWY
Practice Address - Street 2:SUITE 206
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6837
Practice Address - Country:US
Practice Address - Phone:951-970-0002
Practice Address - Fax:951-695-3229
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical