Provider Demographics
NPI:1588877906
Name:PUMPHREY, STEVE M (LCSW)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:M
Last Name:PUMPHREY
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 1:23201 MILL CREEK DR.
Mailing Address - Street 2:#220
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-460-5323
Mailing Address - Fax:949-460-5322
Practice Address - Street 1:23201 MILL CREEK DR.
Practice Address - Street 2:#220
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-460-5323
Practice Address - Fax:949-460-5322
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS120471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical