Individual provider Active NPI

Yazmina Lopez, LCSW

  • Clinical Social Worker
  • Tillamook, OR
National Provider Identifier
1932672672
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L12825 Issued in OR
Practice address
906 Main Ave
Tillamook, OR 97141-3816
Phone
(503) 842-8201
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 52516 TX
Clinical Social Worker 1041C0700X L12825 OR Primary

Addresses

Primary practice location

906 Main Ave
Tillamook, OR 97141-3816

Mailing address

PO Box 1187
Weslaco, TX 78599-1187

Other practice location 1

611 Thornwood St
Mission, TX 78574-2315
Phone (956) 391-8590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190312000932 TX Practitioner - Clinical Social Worker 7719226687 Reassigns benefits to 2 organizations
I20211029000535 OR Practitioner - Clinical Social Worker 7719226687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tillamook Family Counseling CenterGroup PAC ID 3375443864, 8 clinicians

Practice addresses (Care Compare)

906 Main Ave
Tillamook, OR 97141-3816
Phone 50384282010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L12825ORMDClinical Social Worker
52516TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Collective LLC Clinical CurrentSince Jun 20, 2024 Accepting new patients
Alivio Counseling Services PC Clinical CurrentSince Jan 7, 2019 Accepting new patients
Tillamook Family Counseling Center PastSince Oct 25, 2021 Accepting new patients

Locations

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

3911 N 10th St
Ste D
McAllen, TX 78501
Phone (956) 595-0068

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tfcc/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1932672672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785991187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413816",
            "telephone_number": "503-842-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Thornwood St",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785742315",
            "country_code": "US",
            "telephone_number": "956-391-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "YAZMINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52516",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.