Theresa M Hopper is a Clinical in Corbin, Kentucky. Theresa M Hopper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa M Hopper is 1124002373. The last update date is 2019-07-16.
Theresa M Hopper's current location address is 1 Trillium Way, Corbin, Kentucky. You can contact this provider via phone number 6065238521. The mailing address for Theresa M Hopper is 1 Trillium Way, Corbin, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M Hopper |
|---|---|
| Address | 1 Trillium Way, Corbin, Kentucky |
| Phone Number | 6065238521 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1124002373 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2019-07-16 |
Provider Mailing Address Detail
| Address | 1 Trillium Way |
|---|---|
| City | Corbin |
| State | Kentucky (KY) |
| Post Code | 407018727 |
| Phone Number | 6065238521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-185 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307090 | WY | BS OF WY | |
| 7100450820 | KY | -- | |
| MH63 | WY | WINHEALTH PARTNERS |
Post Comment/ Review Below
What is the unique identifier code issued to Theresa M Hopper by the Centers for Medicare & Medicaid Services (CMS)?
The Theresa M Hopper has been assigned the NPI (National Provider Identifier) 1124002373. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Theresa M Hopper?
The Theresa M Hopper is situated at 1 Trillium Way, in the city of Corbin, state of KY, with the zip code 407018727.
What is Theresa M Hopper's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theresa M Hopper is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Theresa M Hopper receive its 1124002373 assignment from the Centers for Medicare & Medicaid Services?
The Theresa M Hopper was assigned its 1124002373 on 2005-12-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Theresa M Hopper, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theresa M Hopper, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-07-16.