Alisa Lopez, Licensed Clinical Social Worker Group Inc
Organization Active NPI Clinical Social Worker · Lompoc, CA
NPI 1235927955 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1235927955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ALISA LOPEZ, LICENSED CLINICAL SOCIAL WORKER GROUP INC
- Practice address
- 515 E Ocean Ave Ste E
Lompoc, CA 93436-6926 - Phone
- (805) 995-9393
- NPI assigned
- Apr 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Alisa G Lopez
- Title
- President
- Phone
- (805) 995-9393
Practitioners 1
-
Alisa G Lopez, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251223003979 | CA | Part B Supplier - Clinic/Group Practice | 6709371057 |
Receives reassigned benefits from 1 practitioner Practice locations: Lompoc, CA |
National Provider Directory
Locations
515 E Ocean Ave
Ste E
Lompoc, CA 93436
Phone (805) 588-7246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
515 E Ocean Ave Ste E
Lompoc, CA 93436-6926
Mailing address
PO Box 3015
Lompoc, CA 93438-3015
Phone (805) 995-9393
Other providers in Lompoc, CA
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- Alcohol Drug and Mental Health
- Alcohol,Drug,Mental Health Services
- Courtney C Alf
- Eliazar Alfaro
- Erika Alonso
- Ivan Dejesus Alvarez
- Jon Amate
- Amer RX Inc
- Amro Shakker Amer
All providers in Lompoc, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.