Individual provider · Type 1 NPI

Thomas Lopez, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1962932434 Active

Practice location

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801099824 (MI)

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 1962932434

Thomas Lopez, LMSW's National Provider Identifier is 1962932434, issued on Jun 15, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 22, 2025.