Individual provider Active NPI

Adrianne Lopez

  • Clinical Social Worker
  • Covina, CA
National Provider Identifier
1205265402
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124196 Issued in CA
Practice address
530 W Badillo St
Covina, CA 91722-3762
Phone
(626) 993-3000
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90166 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Clinical Social Worker 1041C0700X 124196 CA Primary

Addresses

Primary practice location

530 W Badillo St
Covina, CA 91722-3762

Mailing address

530 W Badillo St
Covina, CA 91722-3762
Phone (626) 993-3000

Other practice location 1

11429 Valley Blvd
El Monte, CA 91731
Phone (626) 993-3000

Other practice location 2

11429 Valley Blvd
El Monte, CA 91731
Phone (626) 993-3000

Other practice location 3

2450 S Atlantic Blvd Ste 101
Commerce, CA 90040-1200
Phone (323) 318-9960

Other practice location 4

1801 Huntington Dr
Duarte, CA 91010
Phone (626) 993-3000

Other identifiers 1

IdentifierTypeStateIssuer
95-2633765OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
124196CAMDMarriage & Family Therapist
90166CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Penny Lane Past Accepting new patients
Penny Lane Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1205265402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223762",
            "telephone_number": "626-993-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223762",
            "telephone_number": "626-993-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11429 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "91731",
            "country_code": "US",
            "telephone_number": "626-993-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11429 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "91731",
            "country_code": "US",
            "telephone_number": "626-993-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 S Atlantic Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900401200",
            "country_code": "US",
            "telephone_number": "323-318-9960",
            "fax_number": "323-780-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "91010",
            "country_code": "US",
            "telephone_number": "626-993-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ADRIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "90166",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.