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NPI Code Detail

MEDICARE: ALLISON IVON LOPEZ LCSW

MEDICARE: ALLISON IVON 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
11041C0700XClinical Social WorkerLCSW98900CA

General Provider Information

NPI Number : 1154958999
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON IVON LOPEZ LCSW
Provider Business Mailing Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-763-8836
Fax Number :
Provider Business Practice Location Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-763-8836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 01/09/2026

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Directions to “ ALLISON IVON LOPEZ LCSW” Practice Location

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