MS. ELAINE VICTORIA LOPEZ (NPI# 1083749782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083749782 |
| Entity Type | Individual |
| Full Name | MS. ELAINE VICTORIA LOPEZ |
| Credential | LCSW |
| Practice Address |
2410 Se 121st Ave 216 Portland OR 97216-4066 |
| Mailing Address |
3418 Sw Hamilton St Portland OR 97239-1318 |
| Practice Telephone | 5033355975 |
| Practice Fax Number | 5033355974 |
| Mailing Telephone | 5033276806 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LCSW | L1537 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013380146 | Elaine Lopez | Social Worker | 776 Carteret Ct, Mount Laurel, NJ 08054-3205 | 2015-11-11 |
| 1316225360 | Elaine M Lopez | Nurse Practitioner | 3065 Southwestern Blvd, Ste 100, Orchard Park, NY 14127-1239 | 2011-07-25 |
| 1548562192 | Elaine Lopez | Licensed Psychiatric Technician | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2010-12-01 |
| Street Address |
2410 SE 121ST AVE 216 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477621464 | Michelle Anne Fitz | Marriage & Family Therapist | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2006-11-30 |
| 1790092559 | Tabitha Leeann Jenner | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2010-09-01 |
| 1871819110 | Robert Taylor Ensign | Counselor | 2410 Se 121st Ave, Portland, OR 97216-4066 | 2010-04-12 |
| 1811139355 | Michele Rainier | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2009-03-30 |
| 1992968341 | Chloe Vaughn | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2008-07-07 |
| 1083871743 | Sam David Gillam | Counselor | 2410 Se 121st Ave, Portland, OR 97216-4066 | 2008-05-20 |
| 1316111404 | Laurie Louise Crandall-bass | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2008-04-18 |
| 1245415298 | Jamie L. Stocker | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2008-01-08 |
| 1285815225 | Janelle L Jones | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2007-11-19 |
| 1235254442 | Jasmine Phoung-hanh Nguyen | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.