MEDICARE: APRIL RENEE LOPEZ LBSW-IPR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	37672	TX
2	171M00000X	Case Manager/Care Coordinator		TX

General Provider Information

NPI Number	:	1629375241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL RENEE LOPEZ LBSW-IPR

Provider Business Mailing Address
First Line	:	110 IH 35 N
Second Line	:	SUITE 315, BOX 153
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5003
Country	:	US
Telephone Number	:	512-761-5166
Fax Number	:	281-925-0719

Provider Business Practice Location Address
First Line	:	2906 SETTLEMENT DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2538
Country	:	US
Telephone Number	:	512-761-5166
Fax Number	:	281-925-0719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	12/31/2015

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