Adenia Perez Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012538 Issued in NC

Practice address

1101 Tyvola Rd Ofc 320
Charlotte, NC 28217-3515

Phone

(980) 292-1855

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inspiration Services for Children & Families LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1396247755
  NPD Authorized official
• Sparc Network

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1396155834

  Clinical

  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1992057301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD OFC 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "917-518-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD OFC 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "980-292-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Tilden St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104676013",
            "country_code": "US",
            "telephone_number": "718-231-3400",
            "fax_number": "718-655-3503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282022923",
            "country_code": "US",
            "telephone_number": "704-663-5052",
            "fax_number": "704-663-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Park Rd Ste 218B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093650",
            "country_code": "US",
            "telephone_number": "866-700-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ LOPEZ",
        "first_name": "ADENIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantrease Perdomo, LMBT
• Maurice Perdue
• Tammy J Pereboom, PT
• Cristina Maria Pereira
• Samuel Jay Peretsman, M.D.
• Ana Beatriz Perez Saez
• Mariely Perez Soto, DC
• Matti Perez-Cubas, M.A. CCC-SLP
• Christian O. Perez-Santiago, LMBT
• Alex Perez, PA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.