Individual provider · Type 1 NPI

Mayra Gricel Lopez

Clinical Social Worker · San Luis Obispo, CA

NPI number 1386180628 Active

Practice location

1989 Vicente Dr
San Luis Obispo, CA 93405-6863

Call (805) 781-1354 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X73702 (CA)
Clinical Social Worker Primary 1041C0700X91999 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1386180628

Mayra Gricel Lopez's National Provider Identifier is 1386180628, issued on Jan 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 2, 2019.