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

Individual provider Clinical Social Worker · NPI 1992352496

Vicenta Agnes Lopez Mateo is a Clinical Social Worker in West Covina, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1515 W Cameron Ave Ste 350
West Covina, CA 91790-2726
Phone: (626) 337-8811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 849 E 6th St, Los Angeles, CA 90021-1026 — (213) 623-8446

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW127078 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW95300 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW95300 (CA)

Record details

NPI number1992352496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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