Individual provider Active NPI

Skye Renee' Ayala Lopez

  • Clinical Social Worker
  • Lake Isabella, CA
National Provider Identifier
1780225086
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125268 Issued in CA
Practice address
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone
(562) 467-5532
NPI assigned
Oct 8, 2019
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 125268 CA Primary

Addresses

Primary practice location

2731 Nugget Ave
Lake Isabella, CA 93240-9456

Mailing address

2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone (562) 467-5532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611004464 CA Practitioner - Clinical Social Worker 5294207163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125268CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. PastSince May 1, 2026 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1780225086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 NUGGET AVE",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409456",
            "telephone_number": "562-467-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 NUGGET AVE",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409456",
            "telephone_number": "562-467-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA LOPEZ",
        "first_name": "SKYE",
        "middle_name": "RENEE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Isabella, CA

Sources for this page

Verify at the official NPI Registry.