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

Mrs. Jessica Diane Lopez, LCSW

Individual provider Social Worker · NPI 1104228477

Mrs. Jessica Diane Lopez, LCSW is a Clinical Social Worker in Parker, Colorado. Qualified in 2014, 12 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
12
Licensed in
CO, NM
In the registry since
2014
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

19590 E Mainstreet Ste 202
Parker, CO 80138-7371
Phone: (505) 710-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 912 1st St Nw, Albuquerque, NM 87102-2355 — (505) 224-9777

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence CSW.09926272 (CO)
Social Worker Taxonomy 104100000X · Licence B-07662 (NM)

Record details

NPI number1104228477
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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