Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kassidy Rae Lopez, LCSW

Individual provider Clinical Social Worker · NPI 1871291989

Mrs. Kassidy Rae Lopez, LCSW is a Clinical Social Worker in Millcreek, Utah. Qualified in 2021, 5 years ago. Practices with Comprehensive Psychological Services Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2023
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

1208 E 3300 S
Millcreek, UT 84106-2522
Phone: (801) 483-1600
Fax: (801) 483-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122470653501 (UT)

Record details

NPI number1871291989
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Comprehensive Psychological Services Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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