Marta Lopez Licensed Clinical Social Worker Professional Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

22768 Issued in CA

Legal business name

MARTA LOPEZ LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION

Practice address

157 N Glendora Ave
Suite 221
Glendora, CA 91741-3383

Phone

(909) 268-4649

NPI assigned

May 21, 2008

Last updated

Dec 26, 2013By 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

Mrs. Marta Lopez, LCSWNPI 1891952305

Title

Licensed Clinical Social Worker

Phone

(909) 268-4659

Specialties & licenses 1

Addresses

Other names 1

• Theraputic Educational Services Other name

Locations

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.

• Marta Lopez, LCSW

  • Clinical Social Worker
  • Glendora, CA
  • NPI 1891952305
  Authorized official Same address or phone

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1912164567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N GLENDORA AVE",
            "address_2": "SUITE 221",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413383",
            "telephone_number": "909-268-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N GLENDORA AVE",
            "address_2": "SUITE 221",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413383",
            "telephone_number": "909-268-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA LOPEZ LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "909-268-4659",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "22768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theraputic Educational Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Doniesha Martin
• Austin Martinez
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• Esmeralda Martinez

• Community/Behavioral Health Agency in Glendora, CA
• Providers in Glendora, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.