Provider Demographics
NPI:1467525212
Name:LOPEZ, NORMA T (LMSW)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:T
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 BEXAR CROSSING ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1587
Mailing Address - Country:US
Mailing Address - Phone:210-832-5000
Mailing Address - Fax:210-832-5005
Practice Address - Street 1:7019 W VILLAGE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2297
Practice Address - Country:US
Practice Address - Phone:956-712-4700
Practice Address - Fax:956-712-4646
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39070171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178628701Medicaid