Active NPI
Giselle Lopez, LCSW
- Clinical Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1902931637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23419
- Practice address
- 8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800 - Phone
- (909) 463-8898
- NPI assigned
- Feb 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23419 | CA | Primary |
Addresses
Primary practice location
8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800
Mailing address
PO Box 1353
Guasti, CA 91743-1353
Phone (909) 463-8898
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23419 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1902931637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1353",
"city": "GUASTI",
"state": "CA",
"postal_code": "917431353",
"telephone_number": "909-463-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 UTICA AVE STE 102",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303800",
"telephone_number": "909-463-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "GISELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "23419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.