Provider Demographics
NPI:1598956724
Name:HOPKINS, CHRISTY DIANE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:DIANE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:DIANE
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:1856 PLACE ONE LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4560
Mailing Address - Country:US
Mailing Address - Phone:972-322-3945
Mailing Address - Fax:214-372-8830
Practice Address - Street 1:1856 PLACE ONE LANE
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4560
Practice Address - Country:US
Practice Address - Phone:972-322-3945
Practice Address - Fax:972-448-5155
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16849104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16849OtherTEXAS SOCIAL WORK BOARD