Active NPI
Roxana Lopez
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1538655287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2130 Stockton Blvd Unit 300
Sacramento, CA 95817-1337 - Phone
- (916) 520-2460
- NPI assigned
- Jul 5, 2018
- Last updated
- Jul 9, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | ASW96736 | CA | |
| Social Worker | 104100000X | ASW96736 | CA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2130 Stockton Blvd Unit 300
Sacramento, CA 95817-1337
Mailing address
2130 Stockton Blvd Unit 300
Sacramento, CA 95817-1337
Phone (916) 947-1690
Other practice location 1
801 Empire St
Fairfield, CA 94533-5702
Phone (707) 425-5744
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW96736 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1538655287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 STOCKTON BLVD UNIT 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171337",
"telephone_number": "916-947-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 STOCKTON BLVD UNIT 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171337",
"telephone_number": "916-520-2460"
}
],
"practiceLocations": [
{
"address_1": "801 Empire St",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945335702",
"country_code": "US",
"telephone_number": "707-425-5744",
"fax_number": "707-425-5162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROXANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW96736",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW96736",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.