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NPI Code Detail

MEDICARE: ELIZABETH LOPEZ LMSW

MEDICARE:   ELIZABETH  LOPEZ  LMSW
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
11041C0700XClinical Social Worker53171TX
2104100000XSocial Worker53171TX

General Provider Information

NPI Number : 1588365225
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LOPEZ LMSW
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 832-662-5498
Fax Number :
Provider Business Practice Location Address
First Line : 708 MAIN ST FL 10
Second Line :
City : HOUSTON
State : TX
Zip : 77002-3246
Country : US
Telephone Number : 832-662-5498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2023
Last Update Date : 09/25/2025

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Directions to “ ELIZABETH LOPEZ LMSW” Practice Location

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