MEDICARE: MS. MOR XIONG POPPER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ASW78283	CA
2	101YM0800X	Mental Health Counselor
3	101YM0800X	Mental Health Counselor	ASW78283	CA
4	1041C0700X	Clinical Social Worker	78282	CA
5	1041C0700X	Clinical Social Worker	LCSW118797	CA

General Provider Information

NPI Number	:	1790914505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MOR XIONG POPPER LCSW

Provider Business Mailing Address
First Line	:	1960 N. GATEWAY BLVD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727
Country	:	US
Telephone Number	:	559-266-5200
Fax Number	:	559-266-5201

Provider Business Practice Location Address
First Line	:	HEALING HOPE, INC.
Second Line	:	1960 N. GATEWAY BLVD
City	:	FRESNO
State	:	CA
Zip	:	93727
Country	:	US
Telephone Number	:	559-266-5200
Fax Number	:	559-266-5201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	03/15/2024

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