Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Douglas Stafford, LCSW

Individual provider Clinical Social Worker · NPI 1962016832

Charles Douglas Stafford, LCSW is a Clinical Social Worker in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3330 Harbor Blvd
Costa Mesa, CA 92626-1502
Phone: (714) 861-9044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 96730 (CA)

Record details

NPI number1962016832
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025

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