Provider Demographics
NPI:1265843767
Name:HOPE MCLAUGHLIN LCSW PA
Entity Type:Organization
Organization Name:HOPE MCLAUGHLIN LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:904-493-2105
Mailing Address - Street 1:9550 REGENCY SQUARE BLVD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-8116
Mailing Address - Country:US
Mailing Address - Phone:904-493-2105
Mailing Address - Fax:904-493-2106
Practice Address - Street 1:9550 REGENCY SQUARE BLVD
Practice Address - Street 2:SUITE 216
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-8116
Practice Address - Country:US
Practice Address - Phone:904-493-2105
Practice Address - Fax:904-493-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW44331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFI880AMedicare UPIN