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

Maya Lopez, LCSW

Individual provider Clinical Social Worker · NPI 1477230340

Maya Lopez, LCSW is a Clinical Social Worker in Sebastopol, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

652 Petaluma Ave
Sebastopol, CA 95472-4256
Phone: (707) 216-0548
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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 135563 (CA)

Record details

NPI number1477230340
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 30, 2023
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address1069 Bush St, Santa Rosa, CA 95404-5153

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