Active NPI
William Lopez, LCSW
- Clinical Social Worker
- Fort Gordon, GA
National Provider Identifier
1689697161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7459
- Practice address
- 300 E. Hospital Raod
Fort Gordon, GA 30905-5650 - Phone
- (706) 787-8515
- Fax
- (706) 787-1099
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- 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 | SW7459 | FL | Primary |
Addresses
Primary practice location
300 E. Hospital Raod
Fort Gordon, GA 30905-5650
Mailing address
300 E. Hospital Road
Fort Eisenhower, GA 30905-5650
Phone (706) 787-8515
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW7459 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1689697161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E. HOSPITAL ROAD",
"city": "FORT EISENHOWER",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-8515",
"fax_number": "706-787-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E. HOSPITAL RAOD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-8515",
"fax_number": "706-787-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-03-18",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.