Sadie A Lopez, LCSW, CACIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992317 Issued in CO

Practice address

924 Indiana Ave
Pueblo, CO 81004-3747

Phone

(719) 564-9039

Fax

(719) 561-8752

NPI assigned

Nov 14, 2007

Last updated

Nov 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1760663199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 INDIANA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-564-9039",
            "fax_number": "719-561-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 INDIANA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-564-9039",
            "fax_number": "719-561-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SADIE",
        "middle_name": "A",
        "credential": "LCSW, CACIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3270",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Lopez, MD
• Isabella Rose Lopez
• Laura Lopez, PTA
• Laurence Lopez, M.D.
• Richard Anthony Lopez, MS, LAC, CAS
• Andrew A Loptien, CRNA
• Lorax Inc.
• Loren Sites DDS PLLC (Pueblo Dental Center)
• Eric Lorensen
• Nichole Lorenz

• Clinical Social Worker in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.