Individual provider Active NPI

Heather Ann Lopez, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1194107292
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090466 Issued in NY
Practice address
2878 Camino del Rio S Ste 315
San Diego, CA 92108-3846
Phone
(619) 340-0417
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090466 NY Primary
Clinical Social Worker 1041C0700X 101118 CA
Social Worker 104100000X 092088 NY

Addresses

Primary practice location

2878 Camino del Rio S Ste 315
San Diego, CA 92108-3846

Mailing address

51 W Pine Rd
Staatsburg, NY 12580-5405
Phone (845) 206-6834

Other practice location 1

205 South Ave
Poughkeepsie, NY 12601-4818
Phone (845) 554-1365

Other practice location 2

2-4 Austin Court
Poughkeepsie, NY 12603
Phone (845) 206-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092088NYMDSocial Worker
090466NYMDClinical Social Worker
101118CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather a. Lopez, LCSW, PLLC Clinical Current Accepting new patients
Teamer Counseling, LCSW, P.C. Clinical CurrentSince Jan 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1194107292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W PINE RD",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125805405",
            "telephone_number": "845-206-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO S STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083846",
            "telephone_number": "619-340-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 South Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014818",
            "country_code": "US",
            "telephone_number": "845-554-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2-4 Austin Court",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "12603",
            "country_code": "US",
            "telephone_number": "845-206-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090466",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101118",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.