Individual provider · Type 1 NPI

Fred Lopez, LCSW

Clinical Social Worker · North Baldwin, NY

NPI number 1164667259 Active

Practice location

547 New York Ave
North Baldwin, NY 11510-2605

Mailing address

380 Nassau Rd
Roosevelt, NY 11575-1343

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR043649-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164667259

Fred Lopez, LCSW's National Provider Identifier is 1164667259, issued on Dec 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Baldwin, NY. The record was last updated on Sep 2, 2016.