Active NPI
Ricardo Lopez, LCSW
- Clinical Social Worker
- Manchaca, TX
National Provider Identifier
1992833149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02897
- Practice address
- 2310 Bliss Spillar Rd
Manchaca, TX 78652-4400 - Phone
- (512) 282-3723
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- 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 | 02897 | TX | Primary |
Addresses
Primary practice location
2310 Bliss Spillar Rd
Manchaca, TX 78652-4400
Mailing address
66 Candle Pine PL # 100
The Woodlands, TX 77381-6436
Phone (936) 273-3786
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81398W | Other | TX | BLUE CROSS GROUP NUMBER |
| 038726801 | Medicaid | TX | |
| 800009313 | Other | TX | RAILROAD MEDICARE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Mental Health Specialists, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992833149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CANDLE PINE PL # 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773816436",
"telephone_number": "936-273-3786",
"fax_number": "936-273-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 BLISS SPILLAR RD",
"city": "MANCHACA",
"state": "TX",
"postal_code": "786524400",
"telephone_number": "512-282-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RICARDO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "02897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "81398W",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038726801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "800009313",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchaca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.