Healthcare Provider Details

I. General information

NPI: 1427158039
Provider Name (Legal Business Name): STEVEN RUSSELL STEINBERG LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 WILKERSON AVE STE C&D
PERRIS CA
92570-2200
US

IV. Provider business mailing address

4095 COUNTY CIRCLE DR
RIVERSIDE CA
92503-3410
US

V. Phone/Fax

Practice location:
  • Phone: 951-345-6378
  • Fax:
Mailing address:
  • Phone: 951-358-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS19026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: