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Active NPI 1164058756 Individual Practitioner Male Practitioner

Ivan Ricardo Lopez , LCSW

Social Worker - Clinical • Bristol, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ivan Lopez, LCSW is a certified Social Worker - Clinical practicing in Bristol, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Ivan Lopez delivers high-quality medical care to the local community at 11033 NW STATE ROAD 20.

Ivan Lopez is affiliated with Community Health Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11033 Nw State Road 20

Bristol, FL 323216406

Telephone 8506431155
Associated Practice Facility / Clinic
🏢 Pancare Of Florida, Inc Facility NPI 1275346108

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Bristol, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs Matches City Avg
City Avg: 10.0 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Bristol, FL (13861 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (10 Years) 10 Yrs
Bristol Specialty Average (10.0 Years) 10.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-03-16
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL 16852

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.

Hospital & Practice Group Affiliations

Community Health Center Inc

134 State St, Meriden, CT 064503293

Phone: 2032372229

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dorcas Goodman , ARNP

Nurse Practitioner - Family

NPI 1467520114

Advanced Registered Nurse Practitioner

NPI 1528105285

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2020

Registered at 11033 NW STATE ROAD 20, BRISTOL, FL 323216406 (Tel: 8506431155)

📍
Updated Business Mailing Address March 16, 2020

Registered at 5001 LAKE FRONT DR APT B1, TALLAHASSEE, FL 323037171 (Tel: 8632169151)

👤
Provider Name / Credentials Updated March 16, 2020

Recorded as IVAN LOPEZ, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2020

Social Worker (License #16852 in FL)

🟢
Initial NPI Registration & Enumeration March 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164058756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2020
Last Update: March 16, 2020
Sole Proprietor: No

Mailing Address

5001 Lake Front Dr Apt B1

Tallahassee, FL 323037171

Phone: 8632169151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.