Active NPIIndividual provider

Mrs. Mirta Lopez, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1295132330
Practice location
31 S Fullerton Ave, 2ND Flr, Montclair, NJ 07042-3455
Fax
973-783-3033
Last updated
April 9, 2015

Mirta Lopez is a Social Worker, Clinical based in Montclair, NJ. Mirta Lopez practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Mirta Lopez is 1295132330 and holds a License No. 44SC 00653900 (NJ). The current practice location address for Mirta Lopez is 31 S Fullerton Ave, 2ND Flr, Montclair, NJ 07042-3455 and can be reached out via phone at 973-783-3030 and via fax at 973-783-3033.

Provider Profile Details

NPI Number
1295132330
Provider Name
Mirta Lopez
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
31 S Fullerton Ave, 2ND Flr, Montclair, NJ 07042-3455
Phone Number
973-783-3030
Fax Number
973-783-3033
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Miss Mirta Carrero (Former Name)
Provider Enumeration Date
December 3, 2014
Last Update Date
April 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 S Fullerton Ave
2ND Flr
Montclair, NJ 07042-3455
Zip
07042-3455
Phone Number
973-783-3030
Fax Number
973-783-3033
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
31 S Fullerton Ave
Montclair, NJ 07042-3455
City
Montclair
State
NJ
Zip
07042-3455
Phone Number
973-704-3926

License Information

License Number
44SC 00653900
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mirta Lopez, LCSW?

The NPI number of Mrs. Mirta Lopez, LCSW is 1295132330. It was assigned on December 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mirta Lopez, LCSW?

Mrs. Mirta Lopez, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC 00653900.

Where does Mrs. Mirta Lopez, LCSW practice?

The practice location is 31 S Fullerton Ave, 2ND Flr, Montclair, NJ 07042-3455. The office can be reached at 973-783-3030 (phone) or 973-783-3033 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295132330 directly on the NPPES registry website.

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