Individual provider Active NPI

Naomi Lopez Figueroa

  • Clinical Social Worker
  • Eagle Lake, FL
National Provider Identifier
1114553401
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27135 Issued in FL
Practice address
1907 Golden Beak Dr FL 33839
Eagle Lake, FL 33839-5706
Phone
(863) 264-0639
Fax
(863) 204-0935
NPI assigned
Mar 18, 2020
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 27135 FL Primary

Addresses

Primary practice location

1907 Golden Beak Dr FL 33839
Eagle Lake, FL 33839-5706

Mailing address

1907 Golden Beak Dr FL 33839
Eagle Lake, FL 33839-5706
Phone (863) 264-0639

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Center for Personal Development Inc CurrentSince Apr 17, 2022 Accepting new patients
Peace River Center for Personal Development Inc CurrentSince Mar 22, 2020 Accepting new patients
Mind Tree Wellness Clinical Past Accepting new patients

Locations

1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1114553401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 GOLDEN BEAK DR FL 33839",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395706",
            "telephone_number": "863-264-0639",
            "fax_number": "863-204-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 GOLDEN BEAK DR FL 33839",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395706",
            "telephone_number": "863-264-0639",
            "fax_number": "863-204-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ FIGUEROA",
        "first_name": "NAOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "27135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.