Mr Miguel Angel Lopez, LCSW, LAC is a
Social Worker - Clinical based in Fountain, Colorado. Mr Miguel Angel Lopez is licensed to practice in Colorado (license number CSW.09930346) and his current practice location is
8158 Watchmen Rd, Fountain, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 359-2476.
NPI number for Mr Miguel Angel Lopez is 1841762622 and his current mailing address is 660 Southpointe Ct Ste 200, Colorado Springs, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841762622.
Healthcare Provider's Profile
Full Name | Mr Miguel Angel Lopez |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 8158 Watchmen Rd, Fountain, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841762622
- Provider Enumeration Date: 12/18/2018
- Last Update Date: 05/01/2024
Medical Identifiers
Medical identifiers for Mr Miguel Angel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841762622 | NPI | - | NPPES |
05079245 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001680 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09930346 (Colorado) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
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. Mr Miguel Angel 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 |
Mr Miguel Angel Lopez, LCSW, LAC 660 Southpointe Ct Ste 200, Colorado Springs, CO 80906-3874 Ph: (719) 465-2582 | Mr Miguel Angel Lopez, LCSW, LAC 8158 Watchmen Rd, Fountain, CO 80817-2702 Ph: (719) 359-2476 |
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