MEDICARE: MAYA LOPEZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	135563	CA

General Provider Information

NPI Number	:	1477230340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA LOPEZ LCSW

Provider Business Mailing Address
First Line	:	1069 BUSH ST
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95404-5153
Country	:	US
Telephone Number	:	707-331-7457
Fax Number	:

Provider Business Practice Location Address
First Line	:	652 PETALUMA AVE
Second Line	:
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-4256
Country	:	US
Telephone Number	:	707-216-0548
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2023
Last Update Date	:	12/04/2025

Similar Medicare Providers

1962401463 — MISTY MICHELLE ZELK M.D.
Practice Location Address:

652 PETALUMA AVE , SUITE H
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-7616
Practice Fax:

1477515435 — DR. HOPE ANITA BECKLUND MD
Practice Location Address:

652 PETALUMA AVE , SUITE F
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-2334
Practice Fax: 707-823-3007

1497842835 — SUTTER MEDICAL GROUP OF THE REDWOODS
Practice Location Address:

652 PETALUMA AVE , SUITE F
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-2334
Practice Fax: 707-823-3007

1982791380 — REDWOOD REGIONAL MEDICAL GROUP
Practice Location Address:

652 PETALUMA AVE , SUITE I
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-829-2141
Practice Fax: 707-829-2966

1992889067 — ALLAN L. BERNSTEIN MD
Practice Location Address:

652 PETALUMA AVE , SUITE H
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-7616
Practice Fax: 707-823-2803

1871665471 — DR. SCOTT BENSTOCK DDS
Practice Location Address:

652 PETALUMA AVE , SUITE A
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-5339
Practice Fax: 707-823-1891

Directions to “ MAYA LOPEZ LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.