Individual provider Active NPI

Juanita Lopez, LCSW,LCAS-A

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1659664324
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009318 Issued in NC
Practice address
951 S McPherson Church Rd Ste 105
Fayetteville, NC 28303-5383
Phone
(910) 273-1393
Fax
(910) 900-0313
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3214-A NC
Clinical Social Worker 1041C0700X C009318 NC Primary

Addresses

Primary practice location

951 S McPherson Church Rd Ste 105
Fayetteville, NC 28303-5383

Mailing address

PO Box 207
Hope Mills, NC 28348-0207
Phone (910) 273-1393

Other names 1

  • Ms. Juanita Massol-Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180601001005 NC Practitioner - Clinical Social Worker 5698030203 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3214-ANCMDAddiction (Substance Use Disorder) Counselor
C009318NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Change PLLC Addiction (Substance Use Disorder) CurrentSince Apr 1, 2021 Accepting new patients
Renew Counseling Center of NC LLC CurrentSince Apr 19, 2018 Accepting new patients
Integrated Behavioral Healthcare Services, PA CurrentSince Apr 29, 2019 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Life Net Services CurrentSince Dec 27, 2019 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Acceptance Pathway Psychiatry PLLC Past Accepting new patients

Locations

1790 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 236-2061

2577 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 438-0947

951 S McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 849-3399

1830 Owen Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 273-1393

951 S McPherson Church Rd
Ste 105
Fayetteville, NC 28303
Phone (910) 273-1393

2212 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 779-0454

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1659664324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283480207",
            "telephone_number": "910-273-1393",
            "fax_number": "910-900-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 S MCPHERSON CHURCH RD STE 105",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035383",
            "telephone_number": "910-273-1393",
            "fax_number": "910-900-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "LCSW,LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3214-A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "MASSOL-LOPEZ",
            "prefix": "MS.",
            "credential": "LCSW,LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.