Mario Rey Lopez, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4214 Issued in KS

Practice address

2200 SW Gage Blvd
Topeka, KS 66622-0002

Phone

(785) 350-3111

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1619003480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 SE MOOREFIELD CT",
            "city": "TECUMSEH",
            "state": "KS",
            "postal_code": "665429462",
            "telephone_number": "785-969-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220002",
            "telephone_number": "785-350-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3649 SW Burlingame Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666112155",
            "country_code": "US",
            "telephone_number": "785-266-6751",
            "fax_number": "785-266-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIO",
        "middle_name": "REY",
        "name_prefix": "Mr.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Joliene Long, REGISTERED NURSE
• Michael Ray Longhofer, ATC
• Peter L Loo, MD
• Paige A Lopeman, TLMLP
• Jose A Lopez-Reyes, D.M.D.
• Lora L. Durst, O.D., L.L.C.
• Lorie M Herzog-Baumgardner DDS, PA
• Jo Lynn Lorson, LPN
• Kevin Derrick Lorson
• Sophie L Lorson

• Clinical Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.