Stephanie Flores Licensed Clinical Social Worker Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STEPHANIE FLORES LICENSED CLINICAL SOCIAL WORKER INC.

Doing business as

Lighthouse Therapy

Practice address

14751 Plaza Dr Ste C
Tustin, CA 92780-2773

Phone

(714) 300-8063

NPI assigned

Jun 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Flores, LCSWNPI 1184480527

Title

Licensed Clinical Social Worker

Phone

(714) 300-8063

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Flores, LCSW, PPS

  • School Social Worker
  • Tustin, CA
  • NPI 1184480527
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1841031531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802773",
            "telephone_number": "714-300-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802773",
            "telephone_number": "714-300-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE FLORES LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "714-300-8063",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Russell Stark, D.C.
• Madison D Stark
• State-of-the-Art Physical Therapy, Inc.
• Kylie Stelung
• Amy Stengel, PA-C
• Rachel Stephanik, ATC
• Stephen Donoghue DDS Inc
• Lucas Stephens, DMD
• Ariana Sterrett, AMFT
• Steven Long, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.