Healthcare Provider Details

I. General information

NPI: 1144653478
Provider Name (Legal Business Name): STEPHANIE MONEYHUN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 RALSTON ST
VENTURA CA
93003-7318
US

IV. Provider business mailing address

1911 WILLIAMS DR STE 165
OXNARD CA
93036-2612
US

V. Phone/Fax

Practice location:
  • Phone: 805-940-4721
  • Fax:
Mailing address:
  • Phone: 866-998-2243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60442988
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW71631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: