Active NPI
Erica Ann Lopez, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1386026649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW- 33045
- Practice address
- 9336 W Chad St
Boise, ID 83709-0558 - Phone
- (208) 724-9483
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LMSW-33045 | ID | |
| Social Worker | 104100000X | LMSW- 33045 | ID | Primary |
Addresses
Primary practice location
9336 W Chad St
Boise, ID 83709-0558
Mailing address
9336 W Chad St
Boise, ID 83709-0558
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-33045 | ID | MD | Addiction (Substance Use Disorder) Counselor |
| LMSW- 33045 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1386026649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9336 W CHAD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837090558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9336 W CHAD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837090558",
"telephone_number": "208-724-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ERICA",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "LMSW-33045",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW- 33045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.