Active NPI
Lynn Lopez, LMSW
- Social Worker
- Selden, NY
National Provider Identifier
1073076360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 078814
- Practice address
- 485 Hawkins Rd
Selden, NY 11784-1718 - Phone
- (631) 285-8544
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078814 | NY | Primary |
Addresses
Primary practice location
485 Hawkins Rd
Selden, NY 11784-1718
Mailing address
459 Ontario St
Ronkonkoma, NY 11779-5109
Phone (631) 664-4374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078814 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1073076360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 ONTARIO ST",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117795109",
"telephone_number": "631-664-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 HAWKINS RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841718",
"telephone_number": "631-285-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.