Provider Demographics
NPI:1790912095
Name:HOOPES, JILL DENISE (LSCSW)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:DENISE
Last Name:HOOPES
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:DENISE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW-LCAC
Mailing Address - Street 1:208 SIENNA DR
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-8803
Mailing Address - Country:US
Mailing Address - Phone:316-200-6703
Mailing Address - Fax:
Practice Address - Street 1:714 S HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-3002
Practice Address - Country:US
Practice Address - Phone:316-295-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
KS47211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical