Active NPI
Elizabeth Rose Lopez, MA, LMHC
- Social Worker
- Brookline, MA
National Provider Identifier
1407195357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1269 Beacon St
Brookline, MA 02446-5248 - Phone
- (617) 232-1303
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1269 Beacon St
Brookline, MA 02446-5248
Mailing address
1269 Beacon St
Brookline, MA 02446-5248
Phone (617) 232-1303
Other practice location 1
301 Broadway
Chelsea, MA 02150-2807
Phone (617) 912-7914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1407195357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1269 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465248",
"telephone_number": "617-232-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465248",
"telephone_number": "617-232-1303"
}
],
"practiceLocations": [
{
"address_1": "301 Broadway",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MA",
"postal_code": "021502807",
"country_code": "US",
"telephone_number": "617-912-7914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "ELIZABETH",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.