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ESTELA LOPEZ-ESPELIN LCSW, MA
NPI 1245880418
Social Worker - Clinical in Madison, CT

Active since September 18, 2019PECOS Enrolled
145 DURHAM RD STE 6, MADISON, CT 06443(203) 244-8363 Get Directions Write a Review

NPPES record last updated: September 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2022, Aug 23, 2022, Apr 26, 2022 and 4 more (7 updates tracked since 2019).

About Estela Lopez-espelin Lcsw, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTELA LOPEZ-ESPELIN LCSW, MA (NPI 1245880418) is an individual clinical provider in Madison, Connecticut, licensed in Connecticut (10717) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245880418
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameESTELA LOPEZ-ESPELINCredential: LCSW, MA
Location Address145 DURHAM RD STE 6Madison, CT 06443-2656
Mailing Address781 Boston Post Rd Unit 321Madison, CT 06443-7706 · (203) 244-8363
Phone(203) 244-8363
Sole ProprietorYes
Enumeration DateSeptember 18, 2019
Last NPPES UpdateSeptember 17, 20227 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2022
✔ NPI 1245880418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 10717
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
145 DURHAM RD STE 6, Madison, CT 06443
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Estela Lopez-espelin Lcsw, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Estela Lopez-espelin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
17 mi
Psychiatric Hospital
34 PARK STREET
New Haven, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 127 clinicians in this Medicare group
NPI 1881629434 (203) 974-7417

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL ROBERT ESPELIN APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
145 DURHAM RD STE 6
MADISON, CT 06443
South Central Connecticut Planning Region (203) 745-2368
MICHAEL ESPELIN APRN LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
145 DURHAM RD STE 6
MADISON, CT 06443
South Central Connecticut Planning Region (347) 762-5352
ESTELA LOPEZ LCSW LLC
Social Worker (Clinical)
145 DURHAM RD STE 6
MADISON, CT 06443
South Central Connecticut Planning Region (203) 244-8363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Estela Lopez-espelin's NPI number?

The NPI number for Estela Lopez-espelin is 1245880418. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Estela Lopez-espelin located?

Estela Lopez-espelin practices at 145 Durham Rd Ste 6, Madison, CT 06443. The listed phone number is (203) 244-8363.

What is Estela Lopez-espelin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Estela Lopez-espelin enrolled in Medicare?

Yes. Estela Lopez-espelin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Estela Lopez-espelin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Estela Lopez-espelin reassigns Medicare benefits to State Of Connecticut (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Estela Lopez-espelin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Estela Lopez-espelin was last updated on September 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.