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NPI Code Detail

MEDICARE: SARA ELIZABETH HOOPER LSW

MEDICARE: SARA ELIZABETH HOOPER LSW
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
1104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295248276
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELIZABETH HOOPER LSW
Provider Business Mailing Address
First Line : 1067 CAMBRIDGE STATION RD APT C
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-1918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1785 BIG HILL RD
Second Line :
City : DAYTON
State : OH
Zip : 45439-2219
Country : US
Telephone Number : 937-264-0084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2017
Last Update Date : 09/22/2021

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Directions to “ SARA ELIZABETH HOOPER LSW” Practice Location

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