Jesika Lopez Nascimento, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121849 Issued in MA

Practice address

1 Boston Medical Ctr PL
Department of Outpatient Psychiatry
Boston, MA 02118

Phone

(617) 414-5245

Fax

(617) 414-5520

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jesika Jenifer Lopez Nascimento Other name

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

• Latino Health Institute Inc

  • Clinic/Center
  • Boston, MA
  • NPI 1043340326
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1184905093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "address_2": "DEPARTMENT OF OUTPATIENT PSYCHIATRY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5245",
            "fax_number": "617-414-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ NASCIMENTO",
        "first_name": "JESIKA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110150547A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESIKA",
            "last_name": "LOPEZ NASCIMENTO",
            "middle_name": "JENIFER",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John-Robert Manuel Lopes, P.T.A.
• Maria Lopes
• Mathew S Lopes, MD
• Roger Lopez Bellido
• Ana Paola Lopez Lopez, MD
• Jorge Lopez Pineiro
• Ileana Lopez Plaza, MD
• Victor Samuel Lopez Rivera, MD
• Maria Jose Lopez Velasquez, MD
• Daniela Lopez-Alzate, MLT

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.