Individual provider Active NPI

Leslie Lashea Lopez

  • Social Worker
  • Rio Rancho, NM
National Provider Identifier
1972388239
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2023-0610 Issued in NM
Practice address
4210 Meadowlark LN SE
Rio Rancho, NM 87124-1021
Phone
(505) 560-9355
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2023-0610 NM Primary

Addresses

Primary practice location

4210 Meadowlark LN SE
Rio Rancho, NM 87124-1021

Mailing address

6008 Tierra St NE Apt F
Albuquerque, NM 87111-7019
Phone (760) 658-3472

Other practice location 1

6008 Tierra St NE Apt F
Albuquerque, NM 87111-7019
Phone (760) 658-3472

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

LicenseStateTypeSpecialty
SWB-2023-0610NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1972388239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 TIERRA ST NE APT F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117019",
            "telephone_number": "760-658-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 MEADOWLARK LN SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241021",
            "telephone_number": "505-560-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6008 Tierra St NE Apt F",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871117019",
            "country_code": "US",
            "telephone_number": "760-658-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LESLIE",
        "middle_name": "LASHEA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2023-0610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.