Individual provider · Type 1 NPI

Jessica Lopez

Clinical Social Worker · Riverside, CA

NPI number 1659112779 Active

Practice location

3125 Myers St # 3
Riverside, CA 92503-5527

Call (951) 358-4477 Map

Mailing address

1935 N Sierra Way
San Bernardino, CA 92405-4146

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1659112779

Jessica Lopez's National Provider Identifier is 1659112779, issued on Jun 3, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, CA. The record was last updated on Oct 8, 2025.