Individual provider Active NPI

Estela Lopez-Espelin, LCSW, MA

  • Clinical Social Worker
  • Madison, CT
National Provider Identifier
1245880418
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10717 Issued in CT
Practice address
145 Durham Rd Ste 6
Madison, CT 06443-2656
Phone
(203) 244-8363
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2022

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 10717 CT Primary

Addresses

Primary practice location

145 Durham Rd Ste 6
Madison, CT 06443-2656

Mailing address

781 Boston Post Rd Unit 321
Madison, CT 06443-7706
Phone (203) 244-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419002636 CT Practitioner - Clinical Social Worker 6103265343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10717CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Mar 13, 2024 Accepting new patients
Estela Lopez LCSW LLC Clinical CurrentSince Dec 1, 2019 Accepting new patients
State of Connecticut CurrentSince Mar 13, 2024 Accepting new patients

Locations

1204 Main St
Branford, CT 06405
Phone (203) 518-8447

165 Capitol Ave
Ste 2000
Hartford, CT 06106

781 Boston Post Rd
Unit 321
Madison, CT 06443

145 Durham Rd
Ste 6
Madison, CT 06443
Phone (203) 244-8363

34 Park St
North Haven, CT 06519
Phone (203) 974-7417

1200 High Ridge Rd
Stamford, CT 06905
Phone (203) 539-0845

Organizations & group practices 3

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663372800000",
    "number": "1245880418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 BOSTON POST RD UNIT 321",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064437706",
            "telephone_number": "203-244-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DURHAM RD STE 6",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432656",
            "telephone_number": "203-244-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-ESPELIN",
        "first_name": "ESTELA",
        "credential": "LCSW, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.