Provider Demographics
NPI:1457746356
Name:DAVID STEINBERG, PHD, LCSW
Entity Type:Organization
Organization Name:DAVID STEINBERG, PHD, LCSW
Other - Org Name:DAVID STEINBERG, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-253-4473
Mailing Address - Street 1:617 W CLIVEDEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-3651
Mailing Address - Country:US
Mailing Address - Phone:215-253-4473
Mailing Address - Fax:
Practice Address - Street 1:617 W CLIVEDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-3651
Practice Address - Country:US
Practice Address - Phone:215-253-4473
Practice Address - Fax:215-621-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0162531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty