Provider Demographics
NPI:1376861633
Name:HOPKINS, LINDA W (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:W
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-R, LCSWC
Mailing Address - Street 1:233 S ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-5403
Mailing Address - Country:US
Mailing Address - Phone:607-229-6344
Mailing Address - Fax:
Practice Address - Street 1:233 S ALBANY ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5403
Practice Address - Country:US
Practice Address - Phone:607-229-6344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD287601041C0700X
NYR048035-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03872126Medicaid
MD28760OtherMARYLAND LICENSE NUMBER