Provider Demographics
NPI:1578768297
Name:HOPKINS, JOHN G (LICSW)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 GARRISON RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4590
Mailing Address - Country:US
Mailing Address - Phone:603-516-8888
Mailing Address - Fax:603-516-8889
Practice Address - Street 1:150 GARRISON RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4590
Practice Address - Country:US
Practice Address - Phone:603-516-8888
Practice Address - Fax:603-516-8889
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE5220Medicare ID - Type Unspecified