Healthcare Provider Details

I. General information

NPI: 1114016243
Provider Name (Legal Business Name): MAURA LYNCH-LOFTUS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAURA LOFTUS LCSW

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 W MAIN ST STE 103
TUSTIN CA
92780-7712
US

IV. Provider business mailing address

232 W MAIN ST STE 103
TUSTIN CA
92780-7712
US

V. Phone/Fax

Practice location:
  • Phone: 714-324-3786
  • Fax: 657-600-8113
Mailing address:
  • Phone: 714-324-3786
  • Fax: 657-600-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS14415
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: