Healthcare Provider Details

I. General information

NPI: 1902552797
Provider Name (Legal Business Name): STEVEN NGUYEN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S SANTA FE AVE
COMPTON CA
90221-3814
US

IV. Provider business mailing address

221 VENETIA DR
LONG BEACH CA
90803-3647
US

V. Phone/Fax

Practice location:
  • Phone: 949-627-0307
  • Fax:
Mailing address:
  • Phone: 949-627-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number260141868
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW87589
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: