Patricia C Lopez-Pullman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011163 Issued in IL

Practice address

450 E 22ND St Ste 158
Lombard, IL 60148-6175

Phone

(630) 474-3900

Fax

(630) 474-3903

NPI assigned

Aug 13, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Paty Lopez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madrigal Consulting and Counseling LLP

  • Clinical Social Worker
  • Lombard, IL
  • NPI 1649780016
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1023849643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HAMPTON LN",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722620",
            "telephone_number": "312-907-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST STE 158",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486175",
            "telephone_number": "630-474-3900",
            "fax_number": "630-474-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-PULLMAN",
        "first_name": "PATRICIA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATY",
            "last_name": "LOPEZ",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lombard Medical and Surgical Center
• Lombard Neuropsychological Center
• Lombard School District 44
• Lombard Skilled Nursing Facility LLC
• Sydney Lopez Perkovic, DMD
• John Lopez, LMT,MLDT,MMP
• Maritza Lopez
• Ruby Lopez
• Tracy Lopez, IBCLC
• Cora Lott

• Clinical Social Worker in Lombard, IL
• Providers in Lombard, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.