Fred Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R043649-1 Issued in NY

Practice address

547 New York Ave
North Baldwin, NY 11510-2605

Phone

(516) 546-2975

NPI assigned

Dec 3, 2008

Sex

Male

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: fred.lopez@lifqhc.eclinicaldirectplus.com

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.

• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Elmont, NY
  • NPI 1336669670
  Medicare reassignment NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • North Baldwin, NY
  • NPI 1205704319
  NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Roosevelt, NY
  • NPI 1396059499
  NPD
• Peninsula Counseling Center,Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valley Stream, NY
  • NPI 1437262839
  NPD

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1164667259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 NASSAU RD",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751343",
            "telephone_number": "516-546-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 NEW YORK AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102605",
            "telephone_number": "516-546-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "FRED",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043649-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alethea Beth Livingston, RPH
• Migdalia Llorens-Walters, NP
• Randy F Lomboy, PT
• Long Island Queens Hearing Asso Inc
• Marie Regina Longchamps, R.N.
• Kimberly Anne Lorusso, MS, CCC SLP
• Marie S Louis
• Penni Love, RN
• Sherrie Faith Luc, DPT
• Chade Lyons

• Clinical Social Worker in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.