Active NPI
Einre Anne Imperio Lopez Friedrich, LCSW
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1699247700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6813
- Practice address
- 957 Boynton Dr
Chattanooga, TN 37402-2118 - Phone
- (423) 682-8150
- Fax
- (423) 682-8151
- NPI assigned
- Dec 31, 2018
- Last updated
- Oct 4, 2019
- 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 | 6813 | TN | Primary |
Addresses
Primary practice location
957 Boynton Dr
Chattanooga, TN 37402-2118
Mailing address
1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-3188
Phone (423) 495-4345
Other practice location 1
725 Glenwood Dr Ste E786
Chattanooga, TN 37404-1192
Phone (423) 682-8150
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 |
|---|---|---|---|
| 6813 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1699247700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 GUNBARREL RD STE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213188",
"telephone_number": "423-495-4345",
"fax_number": "423-495-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 BOYNTON DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022118",
"telephone_number": "423-682-8150",
"fax_number": "423-682-8151"
}
],
"practiceLocations": [
{
"address_1": "725 Glenwood Dr Ste E786",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374041192",
"country_code": "US",
"telephone_number": "423-682-8150",
"fax_number": "423-682-8151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ FRIEDRICH",
"first_name": "EINRE ANNE",
"middle_name": "IMPERIO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.