Individual provider Active NPI

Danielle M Lopez, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1659907830
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001542 Issued in DE
Practice address
2700 Silverside Rd Ste 4
Wilmington, DE 19810-3724
Phone
(302) 299-0786
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001542 DE Primary

Addresses

Primary practice location

2700 Silverside Rd Ste 4
Wilmington, DE 19810-3724

Mailing address

24 Grand Teton Dr
Bear, DE 19701-1790
Phone (302) 299-0786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Life Center Complex, Inc CurrentSince Jul 14, 2022 Accepting new patients
The Life Center Complex, Inc CurrentSince Jul 14, 2022 Accepting new patients

Locations

1624 Jessup St
Lowr
Wilmington, DE 19802
Phone (302) 552-3574

222 Philadelphia Pike
Ste 13
Wilmington, DE 19809
Phone (302) 762-6864

Organizations & group practices 2

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1659907830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GRAND TETON DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011790",
            "telephone_number": "302-299-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD STE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103724",
            "telephone_number": "302-299-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.