Individual provider Active NPI

Alexandra Kaye Lopez, LLMSW

  • Clinical Social Worker
  • South Lyon, MI
National Provider Identifier
1669118766
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114467 Issued in MI
Practice address
127 N Lafayette St
South Lyon, MI 48178-1210
Phone
(248) 573-7417
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 6851114467 MI Primary

Addresses

Primary practice location

127 N Lafayette St
South Lyon, MI 48178-1210

Mailing address

127 N Lafayette St
South Lyon, MI 48178-1210
Phone (248) 573-7417

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851114467MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Counseling Center CurrentSince Jun 20, 2023 Accepting new patients
Mattioli Mental Health Clinic PLLC PastSince May 25, 2025 Accepting new patients

Locations

10524 Grand River Rd
Ste 101
Brighton, MI 48116
Phone (248) 573-7417

415 S Lafayette St
Ste 106
South Lyon, MI 48178
Phone (248) 573-7417

415 S Lafayette St
Ste 104
South Lyon, MI 48178
Phone (248) 573-7417

127 N Lafayette St
South Lyon, MI 48178
Phone (248) 573-7417

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.alexandrastocker@150339.advancedmd-direct.com

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1669118766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781210",
            "telephone_number": "248-573-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781210",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEXANDRA",
        "middle_name": "KAYE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.