{"npi":"1104371905","type":"NPI-1","status":"active","name":{"display":"Mrs. Mayra Lopez Acsw","other":[{"code":"1","type":"Formerly known as","value":"CAMPOS, MAYRA VALENCIA"}],"first":"MAYRA","last":"LOPEZ","credential":"ACSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"CA","license":"LCSW96461"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"CA","license":"LCSW96461"}]},"addresses":[{"purpose":"LOCATION","street_1":"1900 G ST","city":"MERCED","state":"CA","postal_code":"95340","country_code":"US","phone":"2093856500"},{"purpose":"MAILING","street_1":"415A W 18TH ST UNIT 1165","city":"MERCED","state":"CA","postal_code":"953404837","country_code":"US","phone":"2093856500"}],"license":{"state":"CA","number":"LCSW96461"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1104371905","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250604002782","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"CA","pac_id":"8820507429"}]},"enumeration_date":"2016-08-22","last_updated":"2021-12-17","_meta":{"source":"NPPES","snapshot_date":"2021-12-17","doc_url":"https://findmynpi.com/api"}}