Susette Lopez, LCSW is a
Social Worker - Clinical based in Orlando, Florida. Susette Lopez is licensed to practice in Florida (license number SW15170) and her current practice location is
6652 Tanglewood Bay Dr Apt 809, Orlando, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 200-6967.
NPI number for Susette Lopez is 1255719712 and her current mailing address is 6652 Tanglewood Bay Dr Apt 809, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255719712.
Healthcare Provider's Profile
| Full Name | Susette Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6652 Tanglewood Bay Dr Apt 809, Orlando, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255719712
- Provider Enumeration Date: 05/15/2015
- Last Update Date: 02/20/2019
Medical Identifiers
Medical identifiers for Susette Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255719712 | NPI | - | NPPES |
| NONE | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 15170 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW15170 (Florida) | 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. Susette 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 |
|---|
Susette Lopez, LCSW
6652 Tanglewood Bay Dr Apt 809,
Orlando, FL 32821-9372
Ph: (239) 200-6967 | Susette Lopez, LCSW
6652 Tanglewood Bay Dr Apt 809,
Orlando, FL 32821-9372
Ph: (239) 200-6967 |
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