Active NPI
Rachel Sales Lopez, LAC, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1649586728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1031
- Practice address
- 6445 Mullan Rd
Apt B
Missoula, MT 59808-5615 - Phone
- (406) 745-5555
- Fax
- (406) 745-2627
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 906 | MT | |
| Clinical Social Worker | 1041C0700X | 1031 | MT | Primary |
Addresses
Primary practice location
6445 Mullan Rd
Apt B
Missoula, MT 59808-5615
Mailing address
6445 Mullan Rd
Apt B
Missoula, MT 59808-5615
Phone (406) 745-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031 | Other | MT | MT DEPT OF OCCUPATIONAL LICENSING |
| 906 | Other | MT | STATE OF MONTANA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031 | MT | MD | Clinical Social Worker |
| 906 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1649586728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6445 MULLAN RD",
"address_2": "APT B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085615",
"telephone_number": "406-745-5555",
"fax_number": "406-745-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6445 MULLAN RD",
"address_2": "APT B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085615",
"telephone_number": "406-745-5555",
"fax_number": "406-745-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RACHEL",
"middle_name": "SALES",
"name_prefix": "Ms.",
"credential": "LAC, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "906",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "1031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT DEPT OF OCCUPATIONAL LICENSING",
"identifier": "1031",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MONTANA",
"identifier": "906",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.