Active NPI
Rozana Marlaine Bates Lopez, LMSW
- Clinical Social Worker
- Farmington, NM
National Provider Identifier
1912152141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M-06863
- Practice address
- 501 Airport Dr Ste 253
Farmington, NM 87401-2646 - Phone
- (505) 325-2778
- Fax
- (505) 325-6171
- NPI assigned
- Dec 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-06863 | NM | Primary |
Addresses
Primary practice location
501 Airport Dr Ste 253
Farmington, NM 87401-2646
Mailing address
501 Airport Dr Ste 253
Farmington, NM 87401-2646
Phone (505) 325-2778
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 |
|---|---|---|---|
| M-06863 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1912152141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AIRPORT DR STE 253",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012646",
"telephone_number": "505-325-2778",
"fax_number": "505-325-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AIRPORT DR STE 253",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012646",
"telephone_number": "505-325-2778",
"fax_number": "505-325-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROZANA MARLAINE",
"middle_name": "BATES",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-06863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.