Search › Wisconsin › 1041C0700X
Charity Lopez, MSW,LCSW, CSAC, CSIT
NPI 1053168799 · on the registry since 2024 · sole proprietor
Practice
- Address
- 30401 Mountain Ln
Waterford, WI 53185 - Phone
- (262) 455-4018
- Clinicians at this address
- 3
Additional practice sites
- 9916 75th St, Kenosha, WI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin