Individual provider · Type 1 NPI
Othoniel Lopez, MSW
Clinical Social Worker · Fayetteville, GA
Practice location
250 Georgia Ave E Unit 143122
Fayetteville, GA 30214-5533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 133693 (CA) |
| Clinical Social Worker Primary | 1041C0700X | CSW006681 (GA) |
| Clinical Social Worker | 1041C0700X | TPSW3568 (FL) |
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 1295031771
Othoniel Lopez, MSW's National Provider Identifier is 1295031771, issued on Feb 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 18, 2026.