Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Marie Lopez, LCSW

Individual provider Clinical Social Worker · NPI 1497316400

Breanna Marie Lopez, LCSW is a Clinical Social Worker in Winston Salem, North Carolina. Qualified in 2019, 7 years ago. Practices with Tuality Medical Group LLC, a 289-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

140 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6160
Phone: (336) 718-7250
Fax: (336) 718-7260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2732 Ann Elizabeth Dr, Burlington, NC 27215-6650 — (336) 229-5905

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C014113 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P013421 (NC)

Record details

NPI number1497316400
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tuality Medical Group Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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