Jean Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66798 Issued in TX

Practice address

6448 E Hwy 290 Ste F108
Austin, TX 78723-1042

Phone

(832) 964-6347

NPI assigned

Sep 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1124796917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290 STE F108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290 STE F108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231042",
            "telephone_number": "832-964-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Bautista Lopez, LPC,LCDC
• Guillermo Lopez, OT
• Guinivir Lopez, RPH
• Hannah Lopez
• Homero Lopez, LPC-ASSOCIATE
• Jennifer Lynn Lopez, FNP-BC
• Jerry Lopez, P.A.
• Jesus Lopez Jr., LPC
• Jesus Lopez, RDN
• Joanna Lopez, PA-C

• Clinical Social Worker in Austin, TX
• Providers in Austin, 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 Sep 6, 2021; 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.