Individual provider Active NPI

Gloria M Lopez-Henriquez, LCSW

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1336289156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05237700 Issued in NJ
Practice address
95 Mount Kemble Ave
Morristown, NJ 07960-5155
Phone
(888) 247-1400
Fax
(973) 290-7585
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC05237700 NJ Primary

Addresses

Primary practice location

95 Mount Kemble Ave
Morristown, NJ 07960-5155

Mailing address

95 Mount Kemble Ave
Morristown, NJ 07960-5155
Phone (973) 971-4714

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
44SC05237700NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336289156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-971-4714",
            "fax_number": "973-290-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "888-247-1400",
            "fax_number": "973-290-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-HENRIQUEZ",
        "first_name": "GLORIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05237700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.