Raul Antonio Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW121104 Issued in CA

Practice address

1055 W Henderson Ave Ste 2
Porterville, CA 93257-1490

Phone

(559) 788-1200

NPI assigned

Nov 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Tulare

  • Community/Behavioral Health Agency
  • Porterville, CA
  • NPI 1518418581
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1679117295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W HENDERSON AVE STE 2",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571490",
            "telephone_number": "559-788-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W HENDERSON AVE STE 2",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571490",
            "telephone_number": "559-788-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAUL",
        "middle_name": "ANTONIO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW121104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Elmer Lopez-Hutchinson, PTA
• Alvaro Lopez
• Lori Ortiz Lopez
• Maria Lopez
• Omar Israel Lopez, ASW
• Victoria Zylstra Lopez, MD
• Douangdara Lor, PHARMD
• Carlos Joseph Lujan
• Thomas A Lukaszczyk, M.D.
• Rosaline Luke

• Clinical Social Worker in Porterville, CA
• Providers in Porterville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.