Individual provider Active NPI

Nicole Lopen, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1427298066
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069905 Issued in NY
Practice address
800 E Gun Hill Rd
Montefiore School Health Program
Bronx, NY 10467-6110
Phone
(718) 944-5601
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069905 NY Primary

Addresses

Primary practice location

800 E Gun Hill Rd
Montefiore School Health Program
Bronx, NY 10467-6110

Mailing address

800 E Gun Hill Rd
Montefiore School Health Program
Bronx, NY 10467-6110
Phone (718) 944-5601

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
069905NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1427298066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E GUN HILL RD",
            "address_2": "MONTEFIORE SCHOOL HEALTH PROGRAM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676110",
            "telephone_number": "718-944-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E GUN HILL RD",
            "address_2": "MONTEFIORE SCHOOL HEALTH PROGRAM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676110",
            "telephone_number": "718-944-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEN",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.