Individual provider Active NPI

Rachel Lopez, MSW, LICSW

  • Clinical Social Worker
  • Gardner, MA
National Provider Identifier
1114329331
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
20 Foster CT
Gardner, MA 01440-4242
Phone
(774) 272-3287
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 Primary

Addresses

Primary practice location

20 Foster CT
Gardner, MA 01440-4242

Mailing address

20 Foster CT
Gardner, MA 01440-4242
Phone (774) 272-3287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201224000537 MA Practitioner - Clinical Social Worker 9436561008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink Inc CurrentSince Dec 16, 2020 Accepting new patients
Community Healthlink, Inc. CurrentSince Dec 16, 2020 Accepting new patients
Lopez Therapy Inc CurrentSince Jun 21, 2020 Accepting new patients

Locations

40 Spruce St
Leominster, MA 01453
Phone (978) 466-3820

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

Organizations & group practices 3

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1114329331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOSTER CT",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014404242",
            "telephone_number": "774-272-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOSTER CT",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014404242",
            "telephone_number": "774-272-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.