Provider Demographics
NPI:1538419460
Name:EAST, STEVEN CRAIG (LCSW, LAADC-S)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CRAIG
Last Name:EAST
Suffix:
Gender:M
Credentials:LCSW, LAADC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18970 IDALEONA RD
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-7916
Mailing Address - Country:US
Mailing Address - Phone:949-274-6920
Mailing Address - Fax:
Practice Address - Street 1:18970 IDALEONA RD
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-7916
Practice Address - Country:US
Practice Address - Phone:949-274-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA835671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical