Provider Demographics
NPI:1891679312
Name:GOSVENER, ELIZABETH CAZARES (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CAZARES
Last Name:GOSVENER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELIZABEHT
Other - Middle Name:
Other - Last Name:CAZARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 25581
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92799-5581
Mailing Address - Country:US
Mailing Address - Phone:714-343-2330
Mailing Address - Fax:
Practice Address - Street 1:7751 S MANTHEY RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9802
Practice Address - Country:US
Practice Address - Phone:209-213-3807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1058041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical