Provider Demographics
NPI:1710020565
Name:LOPEZ, JOANNE CORTES (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:CORTES
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOANNE
Other - Middle Name:CORTES
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7113 LYNDALE CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6357
Mailing Address - Country:US
Mailing Address - Phone:916-427-7122
Mailing Address - Fax:916-427-7122
Practice Address - Street 1:7245 E SOUTHGATE DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2620
Practice Address - Country:US
Practice Address - Phone:916-427-7141
Practice Address - Fax:916-427-7122
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA219301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical