MYRA DINA LOPEZ ACSW
NPI 1023572583
Social Worker - Clinical in Victorville, CA

Q: What is Myra Lopez's NPI number?

The NPI number for Myra Lopez is 1023572583. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Q: What is Myra Lopez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Myra Lopez was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2019PECOS Enrolled

15434 W SAGE ST, VICTORVILLE, CA 92392(760) 843-0506(760) 843-0507 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2021, Jan 29, 2019 (2 updates tracked since 2019).

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About Myra Dina Lopez Acsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRA DINA LOPEZ ACSW (NPI 1023572583) is an individual clinical provider in Victorville, California, licensed in California (LCSW96658) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Victorville.

NPPES Registry Identity

NPI1023572583

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMYRA DINA LOPEZCredential: ACSW

Location Address15434 W SAGE STVictorville, CA 92392-9751

Mailing Address15388 Linden StHesperia, CA 92345-2825 · (760) 552-9556

Phone(760) 843-0506

Fax(760) 843-0507

Sole ProprietorYes

Enumeration DateJanuary 29, 2019

Last NPPES UpdateFebruary 13, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2021

✔ NPI 1023572583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW96658

Definition

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.

15434 W SAGE ST, Victorville, CA 92392

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Secondary Practice Location 1

Location 115248 Eleventh StVictorville, CA 92395-3704 · Phone (760) 843-4165 · Fax (760) 843-6188

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myra Dina Lopez Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SAVANNA PAIGE OLSSON PMHNP

Nurse Practitioner (Psychiatric/Mental Health)