Individual provider Active NPI

Kayla Eva Wong, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1366081457
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124558 Issued in CA
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

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1205963808MedicaidCA

Other names 1

  • Kayla Eva Lopez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
124558CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MP Health Corp. CurrentSince Aug 4, 2024 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.

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.

Verify at the official NPI Registry.