Breanna Marie Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014113 Issued in NC

Practice address

140 Kimel Park Dr
Ste 200
Winston-Salem, NC 27103-6160

Phone

(336) 718-7250

Fax

(336) 718-7260

NPI assigned

Jun 21, 2019

Last updated

Jul 15, 2022By 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

Other names 1

• Breanna Marie Schuetz Former name

Medicare fee-for-service enrollment

Enrolled in NC, OR2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

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.

• Tuality Medical Group LLC

  • Internal Medicine Physician
  • Hillsboro, OR
  • NPI 1073929782
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1700318680
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Adult Psychiatric Medicine

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1235666231
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Morehead City, NC
  • NPI 1144680802
  NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1164151080
  NPD
• Tuality Medical Group LLC

  dba Hillsboro Medical Center Neurology Clinic

  • Neurology Physician
  • Hillsboro, OR
  • NPI 1639690704
  NPD

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1497316400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 KIMEL PARK DR",
            "address_2": "STE 200",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271036160",
            "telephone_number": "336-718-7250",
            "fax_number": "336-718-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 Ann Elizabeth Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272156650",
            "country_code": "US",
            "telephone_number": "336-229-5905 x235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "SCHUETZ",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Konstantinos Lontos, M.D.
• Carnary Loos
• McKenzie Ann Loos, PA-C
• Daniela Lopez Barreto
• Koralys M Lopez Mendez
• Edward Lopez II, D.O.
• Michelle Lopez, M.A., SLP
• Rebecca Lopez, RN
• Yesenia Lopez
• Richard William Lord, MD

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.