Kimberly Lopez, is a
Social Worker - Clinical based in Chicago, Illinois. Kimberly Lopez is licensed to practice in Illinois (license number 149.024819) and her current practice location is
455 E Waterside Dr Unit 1012, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 808-0827.
NPI number for Kimberly Lopez is 1396414066 and her current mailing address is 455 E Waterside Dr, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396414066.
Healthcare Provider's Profile
Full Name | Kimberly Lopez |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 455 E Waterside Dr Unit 1012, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396414066
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 02/08/2023
Medical Identifiers
Medical identifiers for Kimberly Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396414066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 150.103336 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.024819 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Lopez, 455 E Waterside Dr, Chicago, IL 60601-0014 Ph: (773) 808-0827 | Kimberly Lopez, 455 E Waterside Dr Unit 1012, Chicago, IL 60601-0016 Ph: (773) 808-0827 |
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