Provider Demographics
NPI:1982934493
Name:HOOPES-LANGENFELD, HOLLY ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ANN
Last Name:HOOPES-LANGENFELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:ANN
Other - Last Name:HOOPES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:301 N 1ST AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1456
Mailing Address - Country:US
Mailing Address - Phone:208-255-2939
Mailing Address - Fax:
Practice Address - Street 1:301 N 1ST AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1456
Practice Address - Country:US
Practice Address - Phone:208-255-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID261741041C0700X
CA184391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical