Organization Active NPI

Estela Lopez LCSW LLC

  • Clinical Social Worker
  • Madison, CT
National Provider Identifier
1952948580
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ESTELA LOPEZ LCSW LLC
Practice address
145 Durham Rd Ste 6
Madison, CT 06443-2656
Phone
(203) 244-8363
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2022

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

Authorized official

Name
Estela Lopez-Espelin, LCSW, MANPI 1245880418
Title
Owner
Phone
(203) 244-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

145 Durham Rd Ste 6
Madison, CT 06443-2656

Mailing address

781 Boston Post Rd Unit 321
Madison, CT 06443-7706
Phone (203) 244-8363

National Provider Directory

National Provider Directory

Locations

145 Durham Rd
Ste 6
Madison, CT 06443
Phone (203) 244-8363

781 Boston Post Rd
Unit 321
Madison, CT 06443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663372800000",
    "number": "1952948580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 BOSTON POST RD UNIT 321",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064437706",
            "telephone_number": "203-244-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DURHAM RD STE 6",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432656",
            "telephone_number": "203-244-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELA LOPEZ LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-ESPELIN",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-244-8363",
        "authorized_official_credential": "LCSW, MA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; 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.