Linda B Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-39592 Issued in ID

Practice address

3729 Woodking Dr Ste 1
Idaho Falls, ID 83404-4720

Phone

(208) 356-4900

Fax

(208) 612-6118

NPI assigned

Feb 18, 2014

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Linda B Duran Perez Former name

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Valley Community Health Services IncGroup PAC ID 4385725282, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Upper Valley Community Health Services Inc

  dba Grand Peaks Medical

  • Federally Qualified Health Center (FQHC)
  • Saint Anthony, ID
  • NPI 1972792489
  Medicare reassignment Care Compare group NPD
• Upper Valley Community Health Services Inc

  dba Grand Peaks Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Rexburg, ID
  • NPI 1457113250

  Social Worker

  NPD
• Upper Valley Community Health Services, Inc.

  dba Grand Peaks Medical and Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Dubois, ID
  • NPI 1649142712

  Clinical

  NPD
• Upper Valley Community Health Services Inc

  dba Grand Peaks Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Idaho Falls, ID
  • NPI 1205698099

  Social Worker

  NPD (past)
• Upper Valley Community Health Services Inc

  dba Grand Peaks Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Saint Anthony, ID
  • NPI 1396507190

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1134543796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834450018",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 WOODKING DR STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-356-4900",
            "fax_number": "208-612-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 S 1st E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401965",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-372-1023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 E Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834451546",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LINDA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-33355",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-35024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBOL",
            "identifier": "LCSW-39592",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "DURAN PEREZ",
            "middle_name": "B",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Long, M.S., CCC-SLP
• Michael Thomas Long, DO
• Nathan D Long, OTR/L
• Nicole Diane Long, FNP-C
• Arlitta Rae Longacre
• Maria R Lora, BS
• Craig B Lords, D.C.
• Perry Rex Lords, OTR/L
• Lost River Counseling PLLC
• Misty Shantae Lott

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.