| Amy Lopez, LCSW | |
|
925 Bevins Ct, Lakeport, CA 95453-9754 | |
| (707) 263-8382 | |
| (707) 263-0329 |
| Full Name | Amy Lopez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 925 Bevins Ct, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467129767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW124339 (California) | Primary |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Lopez, LCSW Po Box 1950, Lakeport, CA 95453-1950 Ph: (707) 263-8382 | Amy Lopez, LCSW 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Holly Ruth Goetz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 Fax: 707-263-2925 | |
Kimberly Bigelman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-391-6272 | |
Socorro Rocha Padilla, LCSW-78088 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 487 S Main St, Lakeport, CA 95453 Phone: 707-263-4631 Fax: 707-263-4650 | |
Jennifer Sue Nauert, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019 | |
Jetta Meadows, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 149 N Main St, Suite # 210, Lakeport, CA 95453 Phone: 707-262-0400 | |
Mr. Kevin A. Mcgeoch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 572 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-245-5582 |