Provider Demographics
NPI:1700212958
Name:LOPEZ, ARIELLE LAUREN (MSW, ASW)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:LAUREN
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S GARFIELD AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3887
Mailing Address - Country:US
Mailing Address - Phone:626-598-3883
Mailing Address - Fax:
Practice Address - Street 1:320 S GARFIELD AVE STE 202
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3887
Practice Address - Country:US
Practice Address - Phone:626-321-1664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2022-07-01
Deactivation Date:2022-05-25
Deactivation Code:
Reactivation Date:2022-06-27
Provider Licenses
StateLicense IDTaxonomies
CA840791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical