Samantha Lee Lopez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12932 Issued in WI

Practice address

47 Park PL Ste 200H
Appleton, WI 54914-8210

Phone

(715) 848-5022

Fax

(888) 778-6750

NPI assigned

Apr 16, 2019

Last updated

Jun 1, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Centre for Well-Being, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1144426495
  NPD
• The Inner You

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1386177566
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1457914400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1350 TUCKAWAY CT",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428045",
            "telephone_number": "715-301-0014",
            "fax_number": "888-778-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PARK PL STE 200H",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148210",
            "telephone_number": "715-848-5022",
            "fax_number": "888-778-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "12932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Cheng Senior Center
• Stephanie Roberts Long, AUD DOCTOR AUDILOGY
• Tracy J Longtine, LICENSED PROFESSIONA
• Antonio Lopez Jr., DC
• Michelle A Lopez, MD
• John Charles Loppnow, RPH
• Kevin C Lor, PC
• Graham Lorsung
• Tracey Losse, RDH
• Catherine Loughrin, O.D.

• Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.