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

Iesha Vicktoria Lopez, LCSW

Individual provider Clinical Social Worker · NPI 1457871592

Iesha Vicktoria Lopez, LCSW is a Clinical Social Worker in Provo, Utah. Qualified in 2017, 9 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
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

750 N Freedom Blvd
Provo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 151 S University Ave, Provo, UT 84601-4427 — (801) 851-7127
  • 151 S University Ave, Provo, UT 84601-4427 — (801) 851-7127

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10382224-3502 (UT)

Record details

NPI number1457871592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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