Provider Demographics
NPI:1306943709
Name:STEINBACHER, SANDRA JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:JEAN
Last Name:STEINBACHER
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 1:6621 E. PACIFIC COAST HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803
Mailing Address - Country:US
Mailing Address - Phone:562-596-6339
Mailing Address - Fax:562-596-6443
Practice Address - Street 1:6621 E. PACIFIC COAST HIGHWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4239
Practice Address - Country:US
Practice Address - Phone:562-596-6339
Practice Address - Fax:562-596-6443
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS125011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACSW125010Medicaid
CACSW125010Medicaid