MEDICARE: MR. STEPHEN ERIC STONE L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS12505	CA

General Provider Information

NPI Number	:	1134255342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN ERIC STONE L.C.S.W.

Provider Business Mailing Address
First Line	:	PO BOX 90716
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93190-0716
Country	:	US
Telephone Number	:	805-682-9884
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 E VICTORIA ST
Second Line	:	STE. H
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2619
Country	:	US
Telephone Number	:	805-682-9884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2007
Last Update Date	:	07/08/2007

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