Active NPI
Kandi Marie Lopez, ASW
- Social Worker
- Fresno, CA
National Provider Identifier
1821714452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122476
- Practice address
- 3109 N Millbrook Ave
Fresno, CA 93703-1425 - Phone
- (559) 600-9180
- NPI assigned
- Oct 14, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 122476 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 122476 | CA |
Addresses
Primary practice location
3109 N Millbrook Ave
Fresno, CA 93703-1425
Mailing address
6569 N Riverside Dr Ste 102
Fresno, CA 93722-9319
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 |
|---|---|---|---|
| 122476 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1821714452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6569 N RIVERSIDE DR STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937229319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 N MILLBROOK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031425",
"telephone_number": "559-600-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "KANDI",
"middle_name": "MARIE",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "122476",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "122476",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.