Provider Demographics
NPI:1720568413
Name:LOPEZ, ANA LUZ (LCSW)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LUZ
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:LOPEZ-SEWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7190 W SUNSET BLVD # 7D
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4415
Mailing Address - Country:US
Mailing Address - Phone:323-301-3962
Mailing Address - Fax:
Practice Address - Street 1:7190 W SUNSET BLVD # 7D
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4415
Practice Address - Country:US
Practice Address - Phone:323-301-3962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW84125101YM0800X
CA1081371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health