Individual provider Active NPI

Evelyn Lopez, LSW

  • Social Worker
  • Reading, PA
National Provider Identifier
1477075828
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW133321 Issued in PA
Practice address
938 Penn St
Reading, PA 19602-1717
Phone
(610) 670-9924
Fax
(610) 670-2587
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW133321 PA Primary

Addresses

Primary practice location

938 Penn St
Reading, PA 19602-1717

Mailing address

200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109000726 PA Practitioner - Clinical Social Worker 4183152812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Counseling Services, Inc.Group PAC ID 1355331471, 55 clinicians

Practice addresses (Care Compare)

200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-1653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW133321PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Counseling Services Inc. CurrentSince Dec 10, 2024 Accepting new patients
Pennsylvania Counseling Services Inc Past Accepting new patients

Locations

200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464

618 Cumberland St
Lebanon, PA 17042
Phone (717) 274-2741

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1477075828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465040",
            "telephone_number": "717-272-5464",
            "fax_number": "717-273-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021717",
            "telephone_number": "610-670-9924",
            "fax_number": "610-670-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EVELYN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.