Active NPI
Danielle M Lopez, LCSW
- Clinical Social Worker
- Wilmington, DE
National Provider Identifier
1659907830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Life Center Complex, Inc | Current | Accepting new patients | |
| The Life Center Complex, Inc | Current | 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.
-
- Student Health Clinic/Center
- Wilmington, DE
- NPI 1366114522
-
- Community Health Clinic/Center
- Wilmington, DE
- NPI 1770808578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.