Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. STEPHANIE R GAXIOLA, MSW, LCSW, LICSW, MP

Active Sole Proprietor

MS. STEPHANIE R GAXIOLA, MSW, LCSW, LICSW, MP is a Clinical Social Worker healthcare provider located in ENCINO, California. NPI 1295004091 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ENCINO, CA

Registration Details

NPI Number: 1295004091
Provider Type: Individual
Gender: Female
NPI Issued: Dec 22, 2011 (14.63440495993 yrs)
Last Updated: Dec 22, 2011
Licenses: 149012192 (IL)

114657 (MA)
Sole Proprietor: Yes

Practice Information

Address: 16710 VENTURA BLVD

#403

ENCINO, CA, 914361713
Browse CA providers · Browse ZIP 91436
Phone: 4156948465
Primary Specialty: Clinical Social Worker
1041C0700X
Additional Specialty: Clinical Social Worker

Other Clinical Social Worker Providers in ENCINO, CA

Name	Credential	NPI
MS. SHARON GARRETT	L.C.S.W.	1134178692
MR. ADELBERT TERREBONNE	MSW	1457363061
MRS. BARBARA D GAINES	LCSW	1629185095
MS. JOANNE S. FEIGIN	—	1962504951
EVA S. TAUBER	L.C.S.W.	1851488100
MRS. LISA E. WULKAN	MSW, LCSW	1871680132

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.