Active NPI
Nelson A Lopez, DSW, LCSW, PSY.D
- Clinical Social Worker
- Vega Baja, PR
National Provider Identifier
1750008769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11781
- Practice address
- 2 Calle Tulio Otero
Vega Baja, PR 00693-4376 - Phone
- (787) 312-1846
- NPI assigned
- Oct 21, 2022
- Sex
- Male
- 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 | 11781 | PR | Primary |
Addresses
Primary practice location
2 Calle Tulio Otero
Vega Baja, PR 00693-4376
Mailing address
Bo. Brisas de Tortuguero
Buzon 117 Calle Rio Turabo
Vega Baja, PR 00693
Phone (787) 312-1846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11781 | Other | PR | LICENSE CLINICAL SOCIAL WORKER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11781 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1750008769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BO. BRISAS DE TORTUGUERO",
"address_2": "BUZON 117 CALLE RIO TURABO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-312-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CALLE TULIO OTERO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006934376",
"telephone_number": "787-312-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "NELSON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DSW, LCSW, PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE CLINICAL SOCIAL WORKER",
"identifier": "11781",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.