Individual provider Active NPI

Einre Anne Imperio Lopez Friedrich, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1699247700
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6813 Issued in TN
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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 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

LicenseStateTypeSpecialty
6813TNMDPhysical 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.

Verify at the official NPI Registry.