Provider Demographics
NPI:1487340121
Name:LUPIAN, KARINA ESTEFANIA (ASW)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:ESTEFANIA
Last Name:LUPIAN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 JOSHUA TREE ST
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-8917
Mailing Address - Country:US
Mailing Address - Phone:760-925-1814
Mailing Address - Fax:
Practice Address - Street 1:101 HACIENDA DR STE A
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-1889
Practice Address - Country:US
Practice Address - Phone:442-265-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW119993101YM0800X, 104100000X
CAF35012361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical