Provider Demographics
NPI:1629527692
Name:ZARGARBASHI, STEFANIE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:ZARGARBASHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:
Other - Last Name:ORBEGOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MARRIAGE LICENSE
Mailing Address - Street 1:26800 CROWN VALLEY PKWY STE 325
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6384
Mailing Address - Country:US
Mailing Address - Phone:949-364-6000
Mailing Address - Fax:
Practice Address - Street 1:26800 CROWN VALLEY PKWY STE 325
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6384
Practice Address - Country:US
Practice Address - Phone:949-364-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA921381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical