Julie C Lopez, LMSW
Individual provider Active NPI Clinical Social Worker · Irvington, NY
NPI 1013510288 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1013510288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 109662 (NY)
- Practice address
- 100 N Broadway
Irvington, NY 10533-1254 - Phone
- (914) 309-8242
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519002475 | NY | Practitioner - Clinical Social Worker | 9739607250 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109662 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbott House | Current |
Accepting new patients | |
| Topaz Medical of New York PC | Clinical | Current |
Accepting new patients |
| Topaz Medical Group PA | Clinical | Past |
Accepting new patients |
Locations
1 Washington Mall
#1341
Boston, MA 02108
Phone (877) 445-1587
195 Plymouth St
Unit 408
Brooklyn, NY 11201
Phone (877) 445-1587
100 N Broadway
Irvington, NY 10533
Phone (914) 591-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 109662 | NY | Yes |
Addresses
Primary practice location
100 N Broadway
Irvington, NY 10533-1254
Mailing address
3 Church St # 822
New Rochelle, NY 10801-6301
Phone (914) 281-0945
Other providers in Irvington, NY
- Kimberly E Kleinman
- Rochelle Langer
- Nicholas W Lawson
- Lawrence Lewis
- Joanne Elizabeth Loeb
- Laura Rachel Lucido
- Victoria Macdonald
- Jennifer Malakoff
- Irene Mangiacotti
- Philip J Manning
All providers in Irvington, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.