Individual provider Active NPI

Veronica Lopez, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1790370922
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64379 Issued in TX
Practice address
111 W Davis St Apt 2302
Dallas, TX 75208-4472
Phone
(214) 298-9233
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64379 TX Primary

Addresses

Primary practice location

111 W Davis St Apt 2302
Dallas, TX 75208-4472

Mailing address

111 W Davis St Apt 2302
Dallas, TX 75208-4472
Phone (214) 298-9233

Other practice location 1

4500 Spring Ave
Dallas, TX 75210-1350
Phone (972) 817-6251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1790370922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W DAVIS ST APT 2302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084472",
            "telephone_number": "214-298-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W DAVIS ST APT 2302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084472",
            "telephone_number": "214-298-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Spring Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752101350",
            "country_code": "US",
            "telephone_number": "972-817-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.