Individual provider Active NPI

Brandon Lopez, LICSW

  • Clinical Social Worker
  • Chevy Chase, MD
National Provider Identifier
1205633765
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33306 Issued in MD
Practice address
5480 Wisconsin Ave Ste 204
Chevy Chase, MD 20815-3524
Phone
(860) 878-9702
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33306 MD Primary

Addresses

Primary practice location

5480 Wisconsin Ave Ste 204
Chevy Chase, MD 20815-3524

Mailing address

5480 Wisconsin Ave Ste 204
Chevy Chase, MD 20815-3524
Phone (860) 878-9702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33306MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chickpea Counseling, PLLC Clinical Current Accepting new patients
Chickpea Counseling Services, LLC Clinical CurrentSince Dec 21, 2025 Accepting new patients

Locations

5480 Wisconsin Ave
Ste 204
Chevy Chase, MD 20815
Phone (240) 377-4653

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1205633765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 204",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153524",
            "telephone_number": "860-878-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 204",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153524",
            "telephone_number": "860-878-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BRANDON",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "33306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.