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KIMBERLY LOPEZ
NPI 1396414066
Social Worker - Clinical in Chicago, IL

Active since September 07, 2021
455 E WATERSIDE DR UNIT 1012, CHICAGO, IL 60601(773) 808-0827 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Feb 1, 2023, Sep 7, 2021 (3 updates tracked since 2021).

About Kimberly Lopez NPPES

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

KIMBERLY LOPEZ (NPI 1396414066) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.024819) and active in the NPI registry since September 2021. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1396414066
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY LOPEZ
Location Address455 E WATERSIDE DR UNIT 1012Chicago, IL 60601-0016
Mailing Address455 E Waterside DrChicago, IL 60601-0014 · (773) 808-0827
Phone(773) 808-0827
Sole ProprietorNo
Enumeration DateSeptember 7, 2021
Last NPPES UpdateFebruary 8, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1396414066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.024819
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 150.103336 (IL)
455 E WATERSIDE DR UNIT 1012, Chicago, IL 60601
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Secondary Practice Location 1

Location 11 E Superior St Ste 306Chicago, IL 60611-2595 · Phone (773) 808-0827

Other Providers at the Same Location NPPES

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

INBLOOM THERAPY PLLC
Social Worker (Clinical)
455 E WATERSIDE DR UNIT 1012
CHICAGO, IL 60601
Cook County (773) 688-9097

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 Kimberly Lopez's NPI number?

The NPI number for Kimberly Lopez is 1396414066. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Kimberly Lopez located?

Kimberly Lopez practices at 455 E Waterside Dr Unit 1012, Chicago, IL 60601. The listed phone number is (773) 808-0827.

What is Kimberly Lopez's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Lopez was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.