IVELISSE LOPEZ GARCIA (NPI# 1073097275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073097275 |
| Entity Type | Individual |
| Full Name | IVELISSE LOPEZ GARCIA |
| Practice Address |
4840 Tampa Downs Blvd Lutz Tampa FL 33559 |
| Practice Telephone | 9392836413 |
| Mailing Telephone | 9392836413 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
FL | Behavioral Health & Social Service Providers |
| Street Address |
4840 TAMPA DOWNS BLVD LUTZ |
| City | TAMPA |
| State | FL |
| Zip Code | 33559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286930 | Mark Cutler Behm | Dentist | 25464 Grand Cypress Dr, Lutz, FL 33559 | 2019-07-12 |
| 1659837656 | B&b Florida Eye Care Pllc | Optometrist | 25434 Sierra Center Boulevard, Lutz, FL 33559 | 2019-02-14 |
| 1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
| 1134601735 | Brandon Baker | Specialist/Technologist | 15111 Buckhorn Court, Lutz, FL 33559 | 2018-08-30 |
| 1003314162 | Alpha and Omega Resource Center | Day Training, Developmentally Disabled Services | 15115 19th Street, Lutz, FL 33559 | 2018-01-24 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1245786185 | Costco Wholesale Corporation | Hearing Aid Equipment | 2225 Grand Cypress Drive, Lutz, FL 33559 | 2016-08-31 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1932520004 | Nueva Vida Alf II Inc | Respite Care | 2827 Max Smith Rd, Lutz, FL 33559 | 2013-12-17 |
| 1447542931 | Marla Jane Marks | Speech-Language Pathologist | 3228 Cordoba Ranch Blvd., Lutz, FL 33559 | 2011-05-03 |
| Find all providers in zip 33559 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365157 | Raenequa Baker | Social Worker | 5118 N 56th St Ste 111, Tampa, FL 33610-5440 | 2020-10-31 |
| 1851999429 | Jasmine Torres | Social Worker | 2807 W Busch Blvd, Tampa, FL 33618-4562 | 2020-10-15 |
| 1396350310 | Melania Jean Macip-billbe | Social Worker | 1924 Inner Oak Cir Apt 302, Tampa, FL 33619-7042 | 2020-09-15 |
| 1194339663 | Erin Mcentegart | Social Worker | 4719 W Fair Oaks Ave, Tampa, FL 33611-2117 | 2020-09-02 |
| 1144832213 | Holly J Wilson | Social Worker | 19194 Lake Audubon Dr, Tampa, FL 33647-3232 | 2020-08-20 |
| 1093327504 | Compassionate Counseling of Tampa Bay | Social Worker | 2702 S Beach Dr, Tampa, FL 33629-7503 | 2020-08-18 |
| 1396356192 | Silvia Ximena Perez | Social Worker | 7405 Albany Dr, Tampa, FL 33625-3803 | 2020-08-14 |
| 1164033080 | Tammy J Clevenger | Social Worker | 215 W Verne St, Tampa, FL 33606-2324 | 2020-08-13 |
| 1548878028 | Odat Coaching & Counseling | Social Worker | 812 W Mlk Blvd, Tampa, FL 33603-3338 | 2020-07-21 |
| 1205454329 | Amanda Jennings Farris | Social Worker | 611 S Glen Ave, Tampa, FL 33609-4607 | 2020-07-07 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.