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

Jose Luis Lopez Jr., LCSW

Individual provider Clinical Social Worker · NPI 1518819721

Jose Luis Lopez Jr., LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2023, 3 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2026
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

344 W Dayton St Apt 303
Madison, WI 53703-2553
Phone: (414) 391-5971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Fordem Ave, Madison, WI 53704-4600 — (414) 391-5971

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12752-123 (WI)

Record details

NPI number1518819721
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 11, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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