Individual provider Active NPI

Melissa Lopes, LCSW

  • Clinical Social Worker
  • Lithia, FL
National Provider Identifier
1043823669
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW26516 Issued in FL
Practice address
12908 Hawkstone Trail Blvd
Lithia, FL 33547-5114
Phone
(877) 284-7074
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW26516 FL Primary

Addresses

Primary practice location

12908 Hawkstone Trail Blvd
Lithia, FL 33547-5114

Mailing address

12908 Hawkstone Trail Blvd
Lithia, FL 33547-5114
Phone (877) 284-7074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223002012 CT Practitioner - Clinical Social Worker 6901333426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges Healthcare IncGroup PAC ID 3971401365, 33 clinicians

Practice addresses (Care Compare)

949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013593CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Healthcare Inc. CurrentSince Oct 20, 2024 Accepting new patients
Wheeler Clinic PastSince Aug 30, 2020 Accepting new patients

Locations

949 Bridgeport Ave
Milford, CT 06460
Phone (203) 301-2308

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1043823669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12908 HAWKSTONE TRAIL BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475114",
            "telephone_number": "877-284-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12908 HAWKSTONE TRAIL BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475114",
            "telephone_number": "877-284-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

Verify at the official NPI Registry.