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

MS. Kristine Annette Lopez, LCSW

Individual provider Clinical Social Worker · NPI 1629278197

MS. Kristine Annette Lopez, LCSW is a Clinical Social Worker in Moscow, Idaho. Qualified in 1986, 40 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and New Mexico.

Years since qualifying
40
Licensed in
ID, NM
In the registry since
2007
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

111 N Washington St Ste 13
Moscow, ID 83843-2884
Phone: (208) 596-4129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5327 Montgomery Blvd Ne, Albuquerque, NM 87109-1333 — (505) 999-8443

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW35858 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence I-04976 (NM)

Record details

NPI number1629278197
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 23, 2007
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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