MEDICARE: MS. SARA LEE HOPKINS 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	SW15546	FL
2	1041C0700X	Clinical Social Worker	44SC00580800	NJ

General Provider Information

NPI Number	:	1649456849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARA LEE HOPKINS LCSW

Provider Business Mailing Address
First Line	:	15 E VILLAGE DR
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9024
Country	:	US
Telephone Number	:	972-219-3642
Fax Number	:	973-252-8833

Provider Business Practice Location Address
First Line	:	2040 WINTER SPRINGS BLVD
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9347
Country	:	US
Telephone Number	:	407-588-7880
Fax Number	:

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

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	04/24/2026

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