Provider Demographics
NPI:1790180362
Name:GRATWICK, STEVE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:GRATWICK
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 1:2140 N BEACHWOOD DR
Mailing Address - Street 2:#9
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-3426
Mailing Address - Country:US
Mailing Address - Phone:323-371-5380
Mailing Address - Fax:
Practice Address - Street 1:4153 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1321
Practice Address - Country:US
Practice Address - Phone:323-371-5380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW619501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical