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MY DELIVERANCE IS FREEDOM LICENSED CLINICAL SOCIAL WORKER, INC
NPI 1427712835
Social Worker - Clinical in Apple Valley, CA

Active since October 22, 2021
16041 KAMANA RD STE A, APPLE VALLEY, CA 92307(760) 552-9556 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2022, Oct 22, 2021 (2 updates tracked since 2021).

About My Deliverance Is Freedom Licensed Clinical Social Worker, Inc NPPES

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

MY DELIVERANCE IS FREEDOM LICENSED CLINICAL SOCIAL WORKER, INC (NPI 1427712835) is a healthcare organization registered as a clinical in Apple Valley, California and active in the NPI registry since October 2021. The organization lists Myra Dina Lopez, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1427712835
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMY DELIVERANCE IS FREEDOM LICENSED CLINICAL SOCIAL WORKER, INC
Location Address16041 KAMANA RD STE AApple Valley, CA 92307-1331
Mailing Address16041 Kamana Rd Ste AApple Valley, CA 92307-1331 · (760) 552-9556
Phone(760) 552-9556
Organization SubpartNo
Authorized OfficialMyra Dina LopezOwner/ceo · (760) 552-9556
Enumeration DateOctober 22, 2021
Last NPPES UpdateJune 23, 20222 updates tracked since enumeration
NPPES CertifiedJune 16, 2022
✔ NPI 1427712835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
16041 KAMANA RD STE A, Apple Valley, CA 92307
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Other Names 2

Doing Business AsMy Deliverance Is Freedom Licensed Clinical Social Worker, Inc
Doing Business AsMy Deliverance Is Freedom, Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Deliverance Is Freedom Licensed Clinical Social Worker, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to My Deliverance Is Freedom Licensed Clinical Social Worker, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Myra Lopez, ACSW
Clinical Social Worker
NPI 1023572583
15434 W SAGE ST
Victorville, CA 92392
(760) 843-0506
✔ PECOS3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Deliverance Is Freedom Licensed Clinical Social Worker, Inc's NPI number?

The NPI number for My Deliverance Is Freedom Licensed Clinical Social Worker, Inc is 1427712835. It was assigned to this organization in the NPPES registry on October 22, 2021. The provider is doing business as My Deliverance is Freedom, inc.

Where is My Deliverance Is Freedom Licensed Clinical Social Worker, Inc located?

My Deliverance Is Freedom Licensed Clinical Social Worker, Inc is located at 16041 Kamana Rd Ste A, Apple Valley, CA 92307. The listed phone number is (760) 552-9556.

What is My Deliverance Is Freedom Licensed Clinical Social Worker, Inc's specialty?

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

Is My Deliverance Is Freedom Licensed Clinical Social Worker, Inc enrolled in Medicare?

Yes. My Deliverance Is Freedom Licensed Clinical Social Worker, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Deliverance Is Freedom Licensed Clinical Social Worker, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to My Deliverance Is Freedom Licensed Clinical Social Worker, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for My Deliverance Is Freedom Licensed Clinical Social Worker, Inc was last updated on June 23, 2022. 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.