Othoniel Lopez, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006681 Issued in GA

Practice address

250 Georgia Ave E Unit 143122
Fayetteville, GA 30214-5533

Phone

(470) 696-5526

NPI assigned

Feb 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Elmhurst, NY
  • NPI 1023122181
  NPD (past)
• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1609980762
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1295031771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GEORGIA AVE E UNIT 143122",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145533",
            "telephone_number": "470-696-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GEORGIA AVE E UNIT 143122",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145533",
            "telephone_number": "470-696-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "OTHONIEL",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "133693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006681",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW3568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian D Long, MD
• Christine Long, M.D
• Ladacia Sharde Long, PHARMD
• Bonnie Looper, BSN, RN
• Dorsheka Lopez-Waste, BCBA
• Jasmine C Lott
• Marie Pierre Gretchaida Louis, COTA/L
• Christal Love, LMT
• Freddie Lovett, M.S
• Loyal Hearts of Service LLC

• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.