MAYRA PEREZ LOPEZ NPI 1669605374

NPI Information

  • NPI: 1669605374
  • Provider Name: MAYRA PEREZ LOPEZ
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 7425 RANCHO LOS GUILICOS RD
    SANTA ROSA, CA
    ZIP 95409
  • Phone: (707) 565-6318

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NPI Details

Mayra Perez Lopez is a clinical social worker in Santa Rosa, CA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Mayra Perez Lopez NPI is 1669605374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA
ZIP 95409-519
Phone: (707) 565-6318

The enumeration date for this NPI number is 8/27/2009 and was last updated on 11/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical97377CALIFORNIAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)RI-P0908271359CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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