Active NPI
Jennifer Elizabeth Lopas, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1245399765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3088
- Practice address
- 532 NE 56TH Ave
Portland, OR 97213-3152 - Phone
- (503) 250-1188
- Fax
- (503) 536-6450
- NPI assigned
- Dec 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3088 | OR | Primary |
Addresses
Primary practice location
532 NE 56TH Ave
Portland, OR 97213-3152
Mailing address
532 NE 56TH Ave
Portland, OR 97213-3152
Phone (503) 250-1188
Other practice location 1
5050 NE Hoyt St Ste 522
Portland, OR 97213-2984
Phone (503) 250-1188
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3088 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1245399765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 NE 56TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133152",
"telephone_number": "503-250-1188",
"fax_number": "503-536-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 NE 56TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133152",
"telephone_number": "503-250-1188",
"fax_number": "503-536-6450"
}
],
"practiceLocations": [
{
"address_1": "5050 NE Hoyt St Ste 522",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132984",
"country_code": "US",
"telephone_number": "503-250-1188",
"fax_number": "503-536-6450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPAS",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "3088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.