THEODORE IAN LOPEZ LCSW
NPI 1134591415
Social Worker - Clinical in Los Angeles, CA

Q: What is Theodore Lopez's NPI number?

The NPI number for Theodore Lopez is 1134591415. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Q: What is Theodore 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 Theodore Lopez was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 26, 2015

333 S BEAUDRY AVE, LOS ANGELES, CA 90017(213) 241-3841(213) 241-3305 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2021, May 29, 2019, Oct 9, 2018 (3 updates tracked since 2018).

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About Theodore Ian Lopez Lcsw NPPES

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

THEODORE IAN LOPEZ LCSW (NPI 1134591415) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW88983) and active in the NPI registry since October 2015. He maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1134591415

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameTHEODORE IAN LOPEZCredential: LCSW

Location Address333 S BEAUDRY AVELos Angeles, CA 90017-1466

Mailing Address333 S Beaudry AveLos Angeles, CA 90017-1466 · (213) 241-3841 · Fax (213) 241-3305

Phone(213) 241-3841

Fax(213) 241-3305

Sole ProprietorNo

Enumeration DateOctober 26, 2015

Last NPPES UpdateSeptember 22, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1134591415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · LCSW88983✔ Licensed in CA · ASW68504

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.

333 S BEAUDRY AVE, Los Angeles, CA 90017

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Secondary Practice Location 1

Location 11533 Euclid StSanta Monica, CA 90404-3306 · Phone (310) 451-9747

Other Providers at the Same Location NPPES 20

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

KATHY ESTRADA MONTES LCSW

Social Worker (Clinical)