Active NPI
Kayla Eva Wong, LCSW
- Clinical Social Worker
- Santa Barbara, CA
National Provider Identifier
1366081457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124558
- Practice address
- 215 W Mission St
Santa Barbara, CA 93101-2820 - Phone
- (805) 284-4826
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | ||
| Clinical Social Worker | 1041C0700X | 124558 | CA | Primary |
Addresses
Primary practice location
215 W Mission St
Santa Barbara, CA 93101-2820
Mailing address
PO Box 91234
Santa Barbara, CA 93190-1234
Other practice location 1
232 E Canon Perdido St
Santa Barbara, CA 93101-2242
Phone (805) 722-1314
Other practice location 2
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone (805) 965-2376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205963808 | Medicaid | CA |
Other names 1
- Kayla Eva Lopez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mph@mariposasproject.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 124558 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MP Health Corp. | Current | Accepting new patients | |
| Kayla Lopez Therapy | Clinical | Current | 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.
-
- Clinical Social Worker
- Santa Barbara, CA
- NPI 1780568311
-
- Specialist
- Santa Barbara, CA
- NPI 1497009385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1366081457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91234",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931901234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W MISSION ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012820",
"telephone_number": "805-284-4826"
}
],
"practiceLocations": [
{
"address_1": "232 E Canon Perdido St",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931012242",
"country_code": "US",
"telephone_number": "805-722-1314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1236 Chapala St",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931013116",
"country_code": "US",
"telephone_number": "805-965-2376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "KAYLA",
"middle_name": "EVA",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "124558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205963808",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mph@mariposasproject.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "215 W Mission St",
"city": "Santa Barbara",
"state": "CA",
"country_code": "US",
"postal_code": "931012820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "LOPEZ",
"middle_name": "EVA",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.