Juanita Dolores Lopez, MASTER OF SOCIAL WOR
Individual provider Active NPI Clinical Social Worker · Wheatridge, CO
NPI 1194087692 · NPPES record last updated Jun 11, 2012
Key facts
- NPI
- 1194087692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 4851 Independence St.
Suite 200
Wheatridge, CO 80033-6715 - Phone
- (303) 425-0300
- Fax
- (303) 432-5071
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
4851 Independence St.
Suite 200
Wheatridge, CO 80033-6715
Mailing address
4851 Independence Street Suite 200
Jefferson Center for Mental Health
Wheatridge, CO 80033-6715
Phone (303) 425-0300
Other providers in Wheatridge, CO
- A Caring Heart LLC
- Rian M Bovard-Johns
- D Malcolm Strange DDS PC
- Shannon Horn
- Kaiser Foundation Health Plan of Co
- Promilla Mehra
- Monarch Recovery Services, LLC
- Dennis William Ortega I
- Robert P Domaleski MD PC
- Patrick Charles Sweeney
All providers in Wheatridge, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.