IESHA VICKTORIA LOPEZ LCSW
NPI 1457871592
Social Worker - Clinical in Provo, UT

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 15, 2018, Jun 20, 2017 (3 updates tracked since 2017).

About Iesha Vicktoria Lopez Lcsw NPPES

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

IESHA VICKTORIA LOPEZ LCSW (NPI 1457871592) is an individual clinical provider in Provo, Utah, licensed in Utah (10382224-3502) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457871592
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIESHA VICKTORIA LOPEZCredential: LCSW
Location Address750 N FREEDOM BLVDProvo, UT 84601
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639
Fax(801) 373-0639
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateJanuary 22, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
NPI 1457871592 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 UT · 10382224-3502
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.

750 N FREEDOM BLVD, Provo, UT 84601

Other Names 1

Former Name (1)Iesha Vicktoria Bailey Lcsw

Secondary Practice Location 1

Location 1151 S University AveProvo, UT 84601-4427 · Phone (801) 851-7127

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Iesha Vicktoria Lopez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961823307
PECOS Enrollment IDI20200610002714
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601

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 Iesha Lopez's NPI number?

The NPI number for Iesha Lopez is 1457871592. It was assigned to this individual provider in the NPPES registry on June 20, 2017. The provider is also known as Iesha Vicktoria Bailey Lcsw.

Where is Iesha Lopez located?

Iesha Lopez practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Iesha Lopez's specialty?

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

Is Iesha Lopez enrolled in Medicare?

Yes. Iesha Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Iesha Lopez accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Iesha Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iesha Lopez was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.