Provider Demographics
NPI:1861052318
Name:MORFITT, STEPHANIE DAY (LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:DAY
Last Name:MORFITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S SEPULVEDA BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3537
Mailing Address - Country:US
Mailing Address - Phone:310-612-2818
Mailing Address - Fax:
Practice Address - Street 1:520 S SEPULVEDA BLVD STE 308
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3537
Practice Address - Country:US
Practice Address - Phone:310-612-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA894681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14052736OtherCAQH