MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) – Clinical Social Worker, NPI 1841762622

MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) is a healthcare provider. based in Fountain, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, LAC. They hold a License No. ACD.0001680 (CO). The NPI Number for MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) is 1841762622

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. MIGUEL ANGEL LOPEZ (LCSW, LAC)
NPI
1841762622
Phone
(719) 359-2476
Address
8158 WATCHMEN RD
Enumeration Date
18 December 2018
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2067384179
Graduation Year
2019 (7 years ago)
PAC ID
6608217591
Group Practice PAC ID
7012308802
Professional Enrollment ID
I20240509001037
Address ID
CO802372746DE7900XAVEX401

Contacts

Main Contact
05079245
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:7State licenses:4Other names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for MR. MIGUEL ANGEL LOPEZ (LCSW, LAC)

  • 8158 WATCHMEN RD

    FOUNTAIN, CO 808172702

    Phone: (719) 359-2476

    Type: Mailing

  • 220 RUSKIN DR

    COLORADO SPRINGS, CO 809102522

    Phone: (719) 572-6100

    Type: Mailing

  • 350 LYCKMAN PL

    FOUNTAIN, CO 808172861

    Phone: (719) 572-6100

    Type: Location

  • 350 Lyckman Pl

    Fountain, CO 808172861

    Phone: (719) 572-6100

    Type: Location

  • 8158 Watchmen Rd

    Fountain, CO 808172702

    Phone: (719) 359-2476

    Type: Location

  • 660 SOUTHPOINTE CT STE 200

    COLORADO SPRINGS, CO 809063874

    Phone: (719) 465-2582

    Type: Mailing

  • 1400 E BOULDER ST STE 2508

    COLORADO SPRINGS, CO 809095533

    Phone: (719) 365-5221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240509001037IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012308802View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerCO
Clinical Social WorkerCO
Clinical Social WorkerTX
Clinical Social WorkerCO
Clinical Social WorkerIL
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerCO

Reviews

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Frequently asked questions

Does MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) have a public NPI I can cite?
Public records show MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) under NPI 1841762622.
Quick check: is MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) active?
Public NPPES data shows MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) with an active NPI status right now.
What type of care does MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) provide?
MR. MIGUEL ANGEL LOPEZ (LCSW, LAC)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) tied to Fountain, Colorado?
If you are local to Fountain, Colorado, MR. MIGUEL ANGEL LOPEZ (LCSW, LAC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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