Healthcare Provider Details

I. General information

NPI: 1922130707
Provider Name (Legal Business Name): SHARON A KOOPMANS-HEMPTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 W. 8TH STREET SUITE 101
HANFORD CA
93230-4533
US

IV. Provider business mailing address

305 EAST CENTER STREET
VISALIA CA
93291-6331
US

V. Phone/Fax

Practice location:
  • Phone: 559-587-4532
  • Fax: 559-589-1867
Mailing address:
  • Phone: 559-737-4700
  • Fax: 559-734-1247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW 15212
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS24429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: