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

Myra Dina Lopez, ACSW

Individual provider Clinical Social Worker · NPI 1023572583

Myra Dina Lopez, ACSW is a Clinical Social Worker in Victorville, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

15434 W Sage St
Victorville, CA 92392-9751
Phone: (760) 843-0506
Fax: (760) 843-0507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15248 Eleventh St, Victorville, CA 92395-3704 — (760) 843-4165

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW96658 (CA)

Record details

NPI number1023572583
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorYes
NPI enumeratedJanuary 29, 2019
Last updated in NPPESFebruary 13, 2021
Certification dateFebruary 13, 2021

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