Felicia Burnett Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93661 Issued in CA

Practice address

1118 Brunswick Way
Sacramento, CA 95833-2034

Phone

(916) 838-5215

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• La Tanya Takla, Psychologist Inc

  • Clinical Psychologist
  • Modesto, CA
  • NPI 1336819564
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1730580481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 BRUNSWICK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332034",
            "telephone_number": "916-838-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 BRUNSWICK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332034",
            "telephone_number": "916-838-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT LOPEZ",
        "first_name": "FELICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Susan Burlingame, MFT
• Michael H. Burman, M.D.
• Gail Elizabeth Burmeister, DNP PMHNP-BC, APRN,
• Alexandria Burnell
• Deshawn Burnell
• Ainsley Burnett, RBT
• Barbara Burnett
• Brenda Burnett, PMHNP
• Latanya Lynn Burnett, COTA
• Roslyn Burnett

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, 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 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.