Kimberly Belen Lopez, is a
Social Worker - Clinical based in Mammoth Lakes, California. Kimberly Belen Lopez is licensed to practice in California (license number ASW112171) and her current practice location is
1290 Tavern Rd, Mammoth Lakes, California. She can be reached at her office (for appointments etc.) via phone at
(760) 924-1740.
NPI number for Kimberly Belen Lopez is 1700553302 and her current mailing address is Po Box 2619, Mammoth Lakes, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700553302.
Healthcare Provider's Profile
| Full Name | Kimberly Belen Lopez |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1290 Tavern Rd, Mammoth Lakes, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700553302
- Provider Enumeration Date: 08/23/2021
- Last Update Date: 10/26/2023
Medical Identifiers
Medical identifiers for Kimberly Belen Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700553302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW112171 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 390200000X (California) | 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. Kimberly Belen 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 Belen Lopez,
Po Box 2619,
Mammoth Lakes, CA 93546-2619
Ph: (760) 924-1740 | Kimberly Belen Lopez,
1290 Tavern Rd,
Mammoth Lakes, CA 93546-6601
Ph: (760) 924-1740 |
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