Provider Demographics
NPI:1962128967
Name:STEFAN, BRIAN ROBINSON (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ROBINSON
Last Name:STEFAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8023 BEVERLY BLVD
Mailing Address - Street 2:1167
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:213-760-8230
Mailing Address - Fax:213-760-8230
Practice Address - Street 1:960 E GREEN ST STE 280
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2419
Practice Address - Country:US
Practice Address - Phone:213-760-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2025-07-21
Deactivation Date:2024-12-06
Deactivation Code:
Reactivation Date:2025-07-18
Provider Licenses
StateLicense IDTaxonomies
CA935071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical