Healthcare Provider Details

I. General information

NPI: 1144528027
Provider Name (Legal Business Name): RACHEL IRENE NEIL HOPKINS SSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL IRENE NEIL

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 26TH ST
OGDEN UT
84401-3105
US

IV. Provider business mailing address

237 26TH ST
OGDEN UT
84401-3105
US

V. Phone/Fax

Practice location:
  • Phone: 801-625-3700
  • Fax:
Mailing address:
  • Phone: 801-625-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7823030-3503
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7823030-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: