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NPI Code Detail

MEDICARE: MS. JANET LOPEZ MALTOS LCSW

MEDICARE: MS. JANET LOPEZ MALTOS 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 Worker106327TX

General Provider Information

NPI Number : 1780564591
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET LOPEZ MALTOS LCSW
Provider Business Mailing Address
First Line : 5300 W PLANO PKWY STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5300 W PLANO PKWY STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4851
Country : US
Telephone Number : 972-403-1463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2025
Last Update Date : 09/03/2025

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