Individual provider · Type 1 NPI

Kenzi Lopez

Clinical Social Worker · Philadelphia, PA

NPI number 1639887557 Active

Practice location

744 South St # 1117
Philadelphia, PA 19147-2023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X101019 (NY)
Clinical Social Worker 1041C0700X44SC06409400 (NJ)
Clinical Social Worker Primary 1041C0700XCW024885 (PA)

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 1639887557

Kenzi Lopez's National Provider Identifier is 1639887557, issued on Nov 9, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 23, 2025.