Looking Glass Therapy a Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOOKING GLASS THERAPY A LICENSED CLINICAL SOCIAL WORKER PC

Doing business as

Looking Glass Therapy a Licensed Clinical Social Worker PC

Practice address

3957 30TH St Unit 205
San Diego, CA 92104-3078

Phone

(858) 208-0403

NPI assigned

Aug 9, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Magno, LCSWNPI 1801583349

Title

Licensed Clinical Social Worker

Phone

(858) 208-0403

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOOKING GLASS THERAPY A LICENSED CLINICAL SOCIAL WORKER PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Magno

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1801583349
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1477384626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 UNIVERSITY AVE STE 1-267",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042009",
            "telephone_number": "858-208-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 30TH ST UNIT 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043078",
            "telephone_number": "858-208-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING GLASS THERAPY A LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "MAGNO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "858-208-0403",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "114408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOOKING GLASS THERAPY A LICENSED CLINICAL SOCIAL WORKER PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOOKING GLASS THERAPY A LICENSED CLINICAL SOCIAL WORKER PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Iwalani Loo-Martinez, RN, PHN
• Adriana Loo, MFT
• Venus Loo
• Victoria Dayrit Loo
• Michael D Looker, IDC
• Gabrielle M Loomis-Annett, LPC, LISAC
• Devarae Lee Loomis, M.A. CCC-SLP
• Kelly Loomis, D.O.
• Kimberly Dawn Loomis, L.P.T.
• Patricia Loomis

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.