Provider Demographics
NPI:1568491777
Name:HOPKINS, PAMELA J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 INDEPENDENCE BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5475
Mailing Address - Country:US
Mailing Address - Phone:757-486-1807
Mailing Address - Fax:757-486-1807
Practice Address - Street 1:291 INDEPENDENCE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5475
Practice Address - Country:US
Practice Address - Phone:757-486-1807
Practice Address - Fax:757-486-1807
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040037261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008931909Medicaid
VA087506MOtherOPTIMA
VA89750OtherBCBS
VA008931909Medicaid
VA89750OtherBCBS
VAC10260Medicare PIN