Bertha Marie Lopez, ACSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801035506 Issued in MI

Practice address

127 S Broad St
Adrian, MI 49221-2747

Phone

(517) 264-8086

Fax

(517) 264-8086

NPI assigned

Feb 21, 2007

Last updated

Apr 16, 2009By the provider in NPPES

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1629113030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492210009",
            "telephone_number": "517-264-8086",
            "fax_number": "517-264-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212747",
            "telephone_number": "517-264-8086",
            "fax_number": "517-264-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BERTHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ACSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801035506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.