| Ivan Ricardo Lopez, LCSW | |
|
11033 Nw State Road 20, Bristol, FL 32321-6406 | |
| (850) 643-1155 | |
| Not Available |
| Full Name | Ivan Ricardo Lopez |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 11033 Nw State Road 20, Bristol, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164058756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16852 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Ricardo Lopez, LCSW 5001 Lake Front Dr Apt B1, Tallahassee, FL 32303-7171 Ph: (863) 216-9151 | Ivan Ricardo Lopez, LCSW 11033 Nw State Road 20, Bristol, FL 32321-6406 Ph: (850) 643-1155 |
Garrett Griffith, RBT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10611 Sr-20, Bristol, FL 32321 Phone: 850-643-1033 | |
Taneja Rodgers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10611 Nw Sr 20, Bristol, FL 32321 Phone: 850-643-1033 | |
Mrs. Charlotte H Shuler, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10584 Nw Azalea St, Bristol, FL 32321 Phone: 850-643-5551 Fax: 850-643-3446 | |
Christopher Bernard Anderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12958 Nw Collins Hill Ln, Bristol, FL 32321 Phone: 850-643-7724 | |
Mrs. Jeanette Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12422 Nw G T Revell Rd, Bristol, FL 32321 Phone: 850-643-4600 Fax: 850-643-2061 | |
Elizabeth Stephanie Hofrichter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11033 Nw Sr 20, Bristol, FL 32321 Phone: 850-643-2292 Fax: 850-643-1163 |