Ivan Lopez, LCSW
NPI 1164058756 · Clinical Social Worker · Bristol, FL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Lopez, LCSW is a Clinical Social Worker provider in Bristol, FL (NPI 1164058756).
Provider details
- NPI number
- 1164058756
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 16852 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-16
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Frequently asked questions
- What is Ivan Lopez's NPI number?
- Ivan Lopez's National Provider Identifier (NPI) is 1164058756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Lopez's specialty?
- Ivan Lopez is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ivan Lopez located?
- Ivan Lopez's practice location on file with NPPES is 11033 Nw State Road 20, Bristol, FL 32321-6406.
- What is Ivan Lopez's phone number?
- The practice phone number listed in the NPPES registry for Ivan Lopez is (850) 643-1155.
- Does Ivan Lopez accept Medicare?
- Ivan Lopez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Lopez's NPI active?
- Yes — Ivan Lopez's NPI (1164058756) is active in the NPPES registry as of the last update on 2020-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.