Provider Demographics
NPI:1609948504
Name:HOPKINS, SARA A (LISW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:A
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 N. ANKENY BLVD.
Mailing Address - Street 2:SUITE 113 CENTER FOR INTERPERSONAL EFFECTIVENESS
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021
Mailing Address - Country:US
Mailing Address - Phone:515-289-9136
Mailing Address - Fax:515-289-9139
Practice Address - Street 1:501 W. 3RD STREET N.
Practice Address - Street 2:SUITE A2
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208
Practice Address - Country:US
Practice Address - Phone:515-289-9136
Practice Address - Fax:515-289-9139
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007121041C0700X
IA7121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI15649Medicare ID - Type Unspecified