Provider Demographics
NPI:1023605201
Name:LOPEZ, STEVEN DAVID (ASW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DAVID
Last Name:LOPEZ
Suffix:
Gender:M
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:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93423-1071
Mailing Address - Country:US
Mailing Address - Phone:559-679-6948
Mailing Address - Fax:
Practice Address - Street 1:8927 CURBARIL AVE
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-5252
Practice Address - Country:US
Practice Address - Phone:805-466-2580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW870091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical