Active NPI
Leon David Lopez, MBA, LMSW
- Social Worker
- Santa Fe, NM
National Provider Identifier
1336814201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-08362
- Practice address
- 2068 Vereda Josefita
Santa Fe, NM 87507-3310 - Phone
- (505) 920-2323
- NPI assigned
- Aug 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Poetry Therapist | 102X00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Social Worker | 104100000X | M-08362 | NM | Primary |
Addresses
Primary practice location
2068 Vereda Josefita
Santa Fe, NM 87507-3310
Mailing address
2068 Vereda Josefita
Santa Fe, NM 87507-3310
Phone (505) 920-2323
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08362 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1336814201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2068 VEREDA JOSEFITA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073310",
"telephone_number": "505-920-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2068 VEREDA JOSEFITA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073310",
"telephone_number": "505-920-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LEON",
"middle_name": "DAVID",
"credential": "MBA, LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-08362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.