Provider Demographics
NPI:1659476851
Name:HOPKINS, PAULA J (LSCSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:J
Other - Last Name:BERGLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW
Mailing Address - Street 1:609 ELDORADO DR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-8455
Mailing Address - Country:US
Mailing Address - Phone:620-664-6991
Mailing Address - Fax:
Practice Address - Street 1:1715 E 23RD AVE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1105
Practice Address - Country:US
Practice Address - Phone:620-665-2240
Practice Address - Fax:620-665-2276
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098120AMedicaid