Provider Demographics
NPI:1790246221
Name:HOPSON, ANITA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:HOPSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2402
Mailing Address - Country:US
Mailing Address - Phone:914-355-8209
Mailing Address - Fax:
Practice Address - Street 1:35 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2402
Practice Address - Country:US
Practice Address - Phone:914-355-8209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0999351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker