Individual provider Active NPI

Maria Guadalupe Lozano, LCSW

  • Clinical Social Worker
  • Altadena, CA
National Provider Identifier
1326382086
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88560 Issued in CA
Practice address
2046 Allen Ave
Altadena, CA 91001
Phone
(626) 396-5920
Fax
(626) 791-6251
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 ASW34471 CA
Social Worker 104100000X ASW34471 CA
Clinical Social Worker 1041C0700X 88560 CA Primary

Addresses

Primary practice location

2046 Allen Ave
Altadena, CA 91001

Mailing address

3936 Woolwine Dr
Los Angeles, CA 90063-1237
Phone (626) 396-5920

Other practice location 1

940 Avenue 64
Pasadena, CA 91105
Phone (323) 254-2274

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
ASW34471CAMDMental Health Counselor
88560CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Unified School District Past Accepting new patients

Organizations & group practices 1

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1326382086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 WOOLWINE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900631237",
            "telephone_number": "626-396-5920",
            "fax_number": "626-791-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 ALLEN AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "91001",
            "telephone_number": "626-396-5920",
            "fax_number": "626-791-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91105",
            "country_code": "US",
            "telephone_number": "323-254-2274",
            "fax_number": "323-254-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW34471",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW34471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.