Individual provider · Type 1 NPI
Charles Douglas Stafford, LCSW
Clinical Social Worker · Costa Mesa, CA
Practice location
3330 Harbor Blvd
Costa Mesa, CA 92626-1502
Mailing address
10085 Corral River Ct
Fountain Valley, CA 92708-6812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 96730 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
2 other providers at this address
Other clinical social worker providers in Costa Mesa
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- Joseph Madrid, LCSWClinical Social Worker Costa Mesa, CA NPI 1003438433
- Shelley Beckham, LCSWClinical Social Worker Costa Mesa, CA NPI 1013363159
- Penelope Salinger, LCSWClinical Social Worker Costa Mesa, CA NPI 1023399003
- Brian JacoboClinical Social Worker Costa Mesa, CA NPI 1033741541
- Jeremy Quang Le, LCSWClinical Social Worker Costa Mesa, CA NPI 1043836257
- Lizeth Dimas SebastianClinical Social Worker Costa Mesa, CA NPI 1043841737
- Kelleen Carrie StainerClinical Social Worker Costa Mesa, CA NPI 1053025858
About NPI 1962016832
Charles Douglas Stafford, LCSW's National Provider Identifier is 1962016832, issued on Sep 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Mar 29, 2025.