MEDICARE: ELIZABETH LOPEZ LCSW

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	1041C0700X	Clinical Social Worker	53171	TX

General Provider Information

NPI Number	:	1588365225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LOPEZ LCSW

Provider Business Mailing Address
First Line	:	18302 WHISPERING SAILS CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-7140
Country	:	US
Telephone Number	:	972-743-8855
Fax Number	:

Provider Business Practice Location Address
First Line	:	16693 HUFFMEISTER RD
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-1646
Country	:	US
Telephone Number	:	281-305-9387
Fax Number	:

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

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	05/01/2026

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