Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Alicia Lopez, LCSW, PPS

Individual provider Clinical Social Worker · NPI 1114772589

Jacqueline Alicia Lopez, LCSW, PPS is a Clinical Social Worker in Anaheim, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

501 N Crescent Way
Anaheim, CA 92801-5401
Phone: (714) 999-7734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101970 (CA)

Record details

NPI number1114772589
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PPS
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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