Active NPI
Manuel Lopez, MSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1336878420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11693-C
- Practice address
- 2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145 - Phone
- (702) 922-7015
- NPI assigned
- Jun 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11693-C | NV | Primary |
Addresses
Primary practice location
2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145
Mailing address
3324 Marionette Ave
Las Vegas, NV 89101-1876
Phone (702) 466-5776
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 |
|---|---|---|---|
| 11693-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1336878420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 MARIONETTE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891011876",
"telephone_number": "702-466-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2881 S VALLEY VIEW BLVD STE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891020145",
"telephone_number": "702-922-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MANUEL",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "11693-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.