Provider Demographics
NPI:1427663384
Name:STEPLETON, SAMANTHA ERIN (LCSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ERIN
Last Name:STEPLETON
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 1:3201 S BARRINGTON AVE APT E
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1139
Mailing Address - Country:US
Mailing Address - Phone:312-493-3982
Mailing Address - Fax:
Practice Address - Street 1:3201 S BARRINGTON AVE APT E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1139
Practice Address - Country:US
Practice Address - Phone:312-493-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW759961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical