LAURA LOPEZ
NPI 1225409790
Social Worker - Clinical in San Rafael, CA

Active since October 09, 2015
1111 LAS GALLINAS AVE, SAN RAFAEL, CA 94903(415) 491-6614 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laura Lopez NPPES

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

LAURA LOPEZ (NPI 1225409790) is an individual clinical provider in San Rafael, California, licensed in California (118264) and active in the NPI registry since October 2015. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1225409790
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAURA LOPEZ
Location Address1111 LAS GALLINAS AVESan Rafael, CA 94903-1843
Mailing Address1465 65th St Apt 238Emeryville, CA 94608-1097 · (530) 925-0484
Sole ProprietorNo
Enumeration DateOctober 9, 2015
Last NPPES UpdateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
NPI 1225409790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 118264
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.

Also ListedSocial WorkerTaxonomy 104100000X
1111 LAS GALLINAS AVE, San Rafael, CA 94903

Secondary Practice Location 1

Location 18912 Volunteer LnSacramento, CA 95826-3221 · Phone (916) 344-0199

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Psychologist (School)
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marriage & Family Therapist
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marriage & Family Therapist
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225409790, enumerated as an "individual" on October 09, 2015.

The provider is located at 1111 LAS GALLINAS AVE SAN RAFAEL, CA 94903 and the phone number is (415) 491-6614.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.