Active NPI
Sabrina Lopez, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1982167144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149020505
- Practice address
- 2001 S California Ave
Chicago, IL 60608-2486 - Phone
- (773) 584-6200
- NPI assigned
- Apr 12, 2019
- 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 | 149020505 | IL | Primary |
Addresses
Primary practice location
2001 S California Ave
Chicago, IL 60608-2486
Mailing address
4700 S California Ave
Chicago, IL 60632-2016
Phone (773) 584-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149020505 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esperanza Health Centers | Current | Accepting new patients | |
| Esperanza Health Centers | Current | Accepting new patients | |
| Esperanza Health Centers | Current | Accepting new patients |
Locations
4700 S California Ave
Chicago, IL 60632
Phone (708) 713-0078
2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785
2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201
Interoperability endpoints
- https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4
- sabrina.lopez.1@11903.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1124187125
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1659127199
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669812582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1982167144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606322016",
"telephone_number": "773-584-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606082486",
"telephone_number": "773-584-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SABRINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149020505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.