Healthcare Provider Details

I. General information

NPI: 1952250193
Provider Name (Legal Business Name): GOOD PRACTICE THERAPY LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 MIRA MAR AVE # A
LONG BEACH CA
90803-6128
US

IV. Provider business mailing address

765 CRESCENT AVE
BUFFALO NY
14216-3417
US

V. Phone/Fax

Practice location:
  • Phone: 929-320-0408
  • Fax: 716-408-9452
Mailing address:
  • Phone: 929-320-0408
  • Fax: 716-408-9452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN STEITZER
Title or Position: OWNER
Credential:
Phone: 929-320-0408