Elaine Victoria Lopez, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2410 SE 121St Ave
216
Portland, OR 97216-4066

Phone

(503) 335-5975

Fax

(503) 335-5974

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083749782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 SW HAMILTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391318",
            "telephone_number": "503-327-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SE 121ST AVE",
            "address_2": "216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972164066",
            "telephone_number": "503-335-5975",
            "fax_number": "503-335-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELAINE",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "L1537",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Dayrit Lopez, M.D.
• Chersky Alejandro Lopez, CRM, PEER SPECIALIST
• Cory Lopez, QMHP-R
• Cristina Elena Lopez
• Edwardo C Lopez
• Emanuel Lopez, LMT
• Erica Lorraine Lopez, RN
• Fernando Angel Lopez
• Hannah Grace Lopez
• Jennifer Michelle Lopez

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.