Vicenta Agnes Lopez Mateo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW127078 Issued in CA

Practice address

1515 W Cameron Ave Ste 350
West Covina, CA 91790-2726

Phone

(626) 337-8811

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• All for Kids Organization

  • Community/Behavioral Health Agency
  • West Covina, CA
  • NPI 1700912557
  NPD
• Para Los Ninos

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1073637567
  NPD (past)

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1992352496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W CAMERON AVE STE 350",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CAMERON AVE STE 350",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902726",
            "telephone_number": "626-337-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900211026",
            "country_code": "US",
            "telephone_number": "213-623-8446 x225",
            "fax_number": "213-896-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ MATEO",
        "first_name": "VICENTA",
        "middle_name": "AGNES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW95300",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW95300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW127078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lomeli-Morales
• Imani Long
• Longs Drug Stores California LLC
• Pui Chun Loomis
• Abraham Lopez Jr.
• Cindy Lopez Merino
• Mayra Lopez Salinas
• Christa Lopez-Ortiz
• Arley Lopez
• Audrey Lopez

• Clinical Social Worker in West Covina, CA
• Providers in West Covina, 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 Nov 6, 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.