Individual provider Active NPI

Yessica Fernanda Lopez

  • Social Worker
  • Dedham, MA
National Provider Identifier
1225815129
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
415785 Issued in MA
Practice address
260 Milton St Ste 101
Dedham, MA 02026-2927
Phone
(781) 344-3400
Fax
(781) 326-3400
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 415785 MA Primary

Addresses

Primary practice location

260 Milton St Ste 101
Dedham, MA 02026-2927

Mailing address

260 Milton St Ste 101
Dedham, MA 02026-2927
Phone (781) 344-3400

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
415785MAMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: yessica.lopez.1@26450.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1225815129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MILTON ST STE 101",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262927",
            "telephone_number": "781-344-3400",
            "fax_number": "781-326-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MILTON ST STE 101",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262927",
            "telephone_number": "781-344-3400",
            "fax_number": "781-326-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "YESSICA",
        "middle_name": "FERNANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "415785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.