Active NPI
Heather Ann Lopez, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1194107292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092088 | NY | MD | Social Worker |
| 090466 | NY | MD | Clinical Social Worker |
| 101118 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather a. Lopez, LCSW, PLLC | Clinical | Current | Accepting new patients |
| Teamer Counseling, LCSW, P.C. | Clinical | Current | 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.
-
- Clinical Social Worker
- Hopewell Junction, NY
- NPI 1144045113
-
- Clinical Social Worker
- Poughkeepsie, NY
- NPI 1851900641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.