Provider Demographics
NPI:1588127336
Name:SCHOFIELD, WILLIAM JR (MA, CADC-II)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SCHOFIELD
Suffix:JR
Gender:M
Credentials:MA, CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 BAYSIDE DR S
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-1926
Mailing Address - Country:US
Mailing Address - Phone:267-328-8786
Mailing Address - Fax:
Practice Address - Street 1:2915 RED HILL AVE STE A200
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-7978
Practice Address - Country:US
Practice Address - Phone:949-228-9571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA049600518101YA0400X, 171M00000X, 225400000X, 225C00000X
CA139837106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor