Active NPI
Stacey Lopez, LCSW
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1740858539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015887
- Practice address
- 409 S Oakland St
Gastonia, NC 28052-4312 - Phone
- (704) 874-9005
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | C015887 | NC | Primary |
Addresses
Primary practice location
409 S Oakland St
Gastonia, NC 28052-4312
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Other practice location 1
112 Devynn Ridge Ct
Mount Holly, NC 28120-7710
Phone (704) 491-2473
Other practice location 2
620 Summit Crossing Pl
Gastonia, NC 28054-2176
Phone (704) 865-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- slopez644268@direct.ochin.org
Organizations & group practices 1
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.
-
dba Kintegra Family Medicine - Hudson
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1740858539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 S OAKLAND ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524312",
"telephone_number": "704-874-9005"
}
],
"practiceLocations": [
{
"address_1": "112 Devynn Ridge Ct",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NC",
"postal_code": "281207710",
"country_code": "US",
"telephone_number": "704-491-2473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Summit Crossing Pl",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542176",
"country_code": "US",
"telephone_number": "704-865-2229",
"fax_number": "704-865-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "STACEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.