BLANCA LUCILLE LOPEZ (NPI# 1538448865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538448865 |
| Entity Type | Individual |
| Full Name | BLANCA LUCILLE LOPEZ |
| Practice Address |
2355 S Western Ave Chicago IL 60608-3837 |
| Mailing Address |
966 W 21st St Chicago IL 60608-4511 |
| Practice Telephone | 7732541400 |
| Practice Fax Number | 7736501239 |
| Mailing Telephone | 7732541400 |
| Mailing Fax Number | 7736501239 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149018185 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346619129 | Blanca Omarilys Lopez | Physician Assistant | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2015-09-22 |
| 1891091179 | Blanca I Lopez | Psychologist | 4404 S Florida Ave Ste 3, Lakeland, FL 33813-2183 | 2011-02-02 |
| 1740411040 | Blanca Estela Lopez | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2009-08-04 |
| 1619001146 | Blanca Lopez | Marriage & Family Therapist | 327 S K St, Tulare, CA 93274-5416 | 2007-03-15 |
| 1396886271 | Blanca Odalys Lopez | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2007-02-12 |
| 1164576492 | Blanca Lopez | Physical Therapy Assistant | 2511 N John Young Pkwy, Kissimmee, FL 34741-1653 | 2007-01-23 |
| Street Address |
2355 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639247232 | Araceli Andablo | Internal Medicine | 2355 S Western Ave, Chicago, IL 60608-3837 | 2006-12-01 |
| 1770100687 | Rolando Rene Torres | Counselor | 2355 S Western Ave, Chicago, IL 60608-3837 | 2020-06-26 |
| 1205348976 | Johanna Carolina Montoya Castillo | Physician Assistant | 2355 S Western Ave, Chicago, IL 60608-3837 | 2017-11-02 |
| 1821507872 | Karen M Ruwaldt | Advanced Practice Midwife | 2355 S Western Ave, Chicago, IL 60608-3837 | 2017-09-21 |
| 1831640119 | Alexandra Wendel Holey | Registered Nurse | 2355 S Western Ave, Chicago, IL 60608-3837 | 2016-10-20 |
| 1669829776 | Bonnie Smith | Family Medicine | 2355 S Western Ave, Chicago, IL 60608-3837 | 2016-05-18 |
| 1083070544 | Emilee Bess Head Lazo | Advanced Practice Midwife | 2355 S Western Ave, Chicago, IL 60608-3837 | 2016-01-13 |
| 1861807562 | Claudia Navarrete | Nurse Practitioner | 2355 S Western Ave, Chicago, IL 60608-3837 | 2014-06-23 |
| 1255773099 | Betzabe Adame | Counselor | 2355 S Western Ave, Chicago, IL 60608 | 2013-07-22 |
| 1225478191 | Allison Asako Tsambarlis | Obstetrics & Gynecology | 2355 S Western Ave, Chicago, IL 60608-3837 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| 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 |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
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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.