Kimberly Lopez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024819 Issued in IL

Practice address

455 E Waterside Dr Unit 1012
Chicago, IL 60601-0016

Phone

(773) 808-0827

NPI assigned

Sep 7, 2021

Last updated

Feb 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inbloom Therapy PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1922705243
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1396414066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E WATERSIDE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606010014",
            "telephone_number": "773-808-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E WATERSIDE DR UNIT 1012",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606010016",
            "telephone_number": "773-808-0827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Superior St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112595",
            "country_code": "US",
            "telephone_number": "773-808-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.103336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Patricia Lopez, RN
• Joseph Ralph Lopez, P.T.
• Julio Cesar Lopez, LCSW
• Katya Lopez, BCBA
• Kelly B Lopez, DPT
• Kristopher M Lopez, DPM
• Laura Lopez
• Leslie Lopez, DNP, FNP- BC
• Luis Lopez
• Luis E Lopez, LCPC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.