David C Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S06120 Issued in TX

Practice address

620 S Grove St Ste 105
Marshall, TX 75670-5295

Phone

(903) 702-7900

Fax

(903) 702-7904

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling and Psychological Services of East Texas, PC

  • Clinical Psychologist
  • Marshall, TX
  • NPI 1134330392
  NPD (past)
• M.L. Brochner, M.D., P.C. Visual Images

  • Ophthalmology Physician
  • Plano, TX
  • NPI 1043454358
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1124163191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT MARY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014343",
            "telephone_number": "318-687-4812",
            "fax_number": "318-687-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S GROVE ST STE 105",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705295",
            "telephone_number": "903-702-7900",
            "fax_number": "903-702-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7309",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S06120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDSHS",
            "identifier": "06120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Carter Leath, MD
• Brittany Michelle Lee, FNP
• Janice Lewis
• James Logan, MD
• Longview Emergency Medicine Associates PLLC
• Kay Haynes Lottinger
• James Nickolas Love, D.D.S.
• Brittney Maddox
• Callixta Innocent Manley
• Stacey Roschel Manning

• Clinical Social Worker in Marshall, TX
• Providers in Marshall, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.