MARY E LOPUSNAK (LCSW) – Clinical Social Worker, NPI 1063700649

MARY E LOPUSNAK (LCSW) is a healthcare provider. based in San antonio, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW10283 (FL). The NPI Number for MARY E LOPUSNAK (LCSW) is 1063700649

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MARY E LOPUSNAK (LCSW)
NPI
1063700649
Phone
(813) 713-9402
Address
PO BOX 284
Enumeration Date
15 July 2011
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137139402
Graduation Year
2008 (18 years ago)
PAC ID
9739490368
Professional Enrollment ID
I20150623001432
Address ID
FL335446970WE2240XWAYX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MARY E LOPUSNAK (LCSW)

  • PO BOX 284

    SAN ANTONIO, FL 335760284

    Phone: (813) 713-9402

    Fax: (813) 283-1184

    Type: Mailing

  • 33913 STATE ROAD 54

    #102

    WESLEY CHAPEL, FL 335439176

    Phone: (813) 713-9402

    Fax: (813) 713-9402

    Type: Location

  • 4415C CONSTITUTION LN # 118

    MARIANNA, FL 324484472

    Phone: (813) 713-9402

    Fax: (888) 428-5910

    Type: Mailing

  • 2240 TWELVE OAKS WAY STE 102

    WESLEY CHAPEL, FL 335446970

    Phone: (813) 713-9402

    Fax: (888) 428-5910

    Type: Location

  • 4415C Constitution Ln # 118

    Marianna, FL 324484472

    Phone: (813) 713-9402

    Fax: (888) 428-5910

    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: 2015-06-23

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
I20150623001432IClinical Social WorkerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17816$0
View full utilization report →

Insurance plans in this area (ZIP 33576)

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Reviews

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Frequently asked questions

What unique ID ties claims to MARY E LOPUSNAK (LCSW)?
NPI 1063700649 is assigned to MARY E LOPUSNAK (LCSW) under the national enumeration system.
Is MARY E LOPUSNAK (LCSW) active in the national directory?
MARY E LOPUSNAK (LCSW)'s public NPI profile is in an active state.
What field does MARY E LOPUSNAK (LCSW) work in?
You can think of MARY E LOPUSNAK (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MARY E LOPUSNAK (LCSW)?
We surface San Antonio, Florida for MARY E LOPUSNAK (LCSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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