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CHARLES DOUGLAS STAFFORD LCSW
NPI 1962016832
Social Worker - Clinical in Costa Mesa, CA

Active since September 08, 2020
3330 HARBOR BLVD, COSTA MESA, CA 92626(714) 861-9044 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2025, Oct 15, 2020, Oct 5, 2020 and 1 more (4 updates tracked since 2020).

About Charles Douglas Stafford Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DOUGLAS STAFFORD LCSW (NPI 1962016832) is an individual clinical provider in Costa Mesa, California, licensed in California (96730) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1962016832
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES DOUGLAS STAFFORDCredential: LCSW
Location Address3330 HARBOR BLVDCosta Mesa, CA 92626-1502
Mailing Address10085 Corral River CtFountain Valley, CA 92708-6812 · (714) 861-9044
Phone(714) 861-9044
Sole ProprietorYes
Enumeration DateSeptember 8, 2020
Last NPPES UpdateMarch 29, 20254 updates tracked since enumeration
NPPES CertifiedMarch 29, 2025
✔ NPI 1962016832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 96730
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3330 HARBOR BLVD, Costa Mesa, CA 92626
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AWESOME MENTAL HEALTH
Psychiatry & Neurology (Psychiatry)
3330 HARBOR BLVD, 2ND FL, STE 325
COSTA MESA, CA 92626
Orange County (209) 755-7884
OPTUM BEHAVIORAL CARE OF CALIFORNIA, P.C.
Social Worker (Clinical)
3330 HARBOR BLVD, FL 2 STE 244
COSTA MESA, CA 92626
Orange County (877) 622-0013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Stafford's NPI number?

The NPI number for Charles Stafford is 1962016832. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Charles Stafford located?

Charles Stafford practices at 3330 Harbor Blvd, Costa Mesa, CA 92626. The listed phone number is (714) 861-9044.

What is Charles Stafford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Charles Stafford was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.