Active NPI
Kimberly Sheree Lopez-Sanchez, LCSW
- Clinical Social Worker
- Madera, CA
National Provider Identifier
1750876777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109285
- Practice address
- 16645 Road 26 BLDG B
Madera, CA 93638-0830 - Phone
- (559) 416-5909
- NPI assigned
- Jun 22, 2018
- Last updated
- Mar 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW109285 | CA | |
| Clinical Social Worker | 1041C0700X | 109285 | CA | Primary |
Addresses
Primary practice location
16645 Road 26 BLDG B
Madera, CA 93638-0830
Mailing address
PO Box 381
Madera, CA 93639-0381
Phone (559) 416-5909
Other practice location 1
300 E 15th St
Merced, CA 95341-6217
Phone (209) 381-6819
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 |
|---|---|---|---|
| LCSW109285 | CA | MD | Clinical Social Worker |
| 109285 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Merced | Past | Accepting new patients | |
| 2ND Home Incorporated | Past | Accepting new patients | |
| 2ND Home Incorporated | Past | Accepting new patients | |
| County of Merced | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 2nd Home, Inc.-Tenaya Facility
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1346877594
-
dba 2nd Home, Inc.-San Jose Facility
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1730716952
-
- Adolescent and Children Mental Health Clinic/Center
- Merced, CA
- NPI 1023139516
-
- Clinic/Center
- Merced, CA
- NPI 1740303528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1750876777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381",
"city": "MADERA",
"state": "CA",
"postal_code": "936390381",
"telephone_number": "559-416-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16645 ROAD 26 BLDG B",
"city": "MADERA",
"state": "CA",
"postal_code": "936380830",
"telephone_number": "559-416-5909"
}
],
"practiceLocations": [
{
"address_1": "300 E 15th St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953416217",
"country_code": "US",
"telephone_number": "209-381-6819",
"fax_number": "209-724-4032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ-SANCHEZ",
"first_name": "KIMBERLY",
"middle_name": "SHEREE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW109285",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "109285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.