Healthcare Provider Details

I. General information

NPI: 1740545961
Provider Name (Legal Business Name): AMANDA BERNICE HOPKINS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W MAIN ST STE 303
SALISBURY MD
21801-5108
US

IV. Provider business mailing address

9439 ROLLING GREEN DR
DELMAR MD
21875-1201
US

V. Phone/Fax

Practice location:
  • Phone: 443-493-1717
  • Fax: 667-253-3434
Mailing address:
  • Phone: 443-493-1717
  • Fax: 667-253-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20121
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20121
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: