Active NPI
Stephanie Griselle Lopez Hernandez, LMSW
- Social Worker
- Laveen, AZ
National Provider Identifier
1265139299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-7741T
- Practice address
- 7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239 - Phone
- (602) 358-7073
- Fax
- (888) 927-0409
- NPI assigned
- Feb 9, 2023
- Last updated
- Feb 9, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-7741T | AZ | Primary |
Addresses
Primary practice location
7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239
Mailing address
6635 W Happy Valley Rd Ste A104-621
Glendale, AZ 85310-2609
Phone (602) 358-7073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW-7741T | Other | AZ | AZ BOARD OF BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| LMSW-7741T | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1265139299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6635 W HAPPY VALLEY RD STE A104-621",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853102609",
"telephone_number": "602-358-7073",
"fax_number": "888-927-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 S 51ST AVE STE 203",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397239",
"telephone_number": "602-358-7073",
"fax_number": "888-927-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ HERNANDEZ",
"first_name": "STEPHANIE",
"middle_name": "GRISELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-7741T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BOARD OF BEHAVIORAL HEALTH",
"identifier": "LMSW-7741T",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.