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NPI Code Detail

MEDICARE: KELSEY HOPKINS LCSW

MEDICARE: KELSEY 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
11041C0700XClinical Social WorkerL12219OR

General Provider Information

NPI Number : 1740773027
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY HOPKINS LCSW
Provider Business Mailing Address
First Line : 220 NW OREGON AVE STE 202
Second Line :
City : BEND
State : OR
Zip : 97703-2745
Country : US
Telephone Number : 541-846-8173
Fax Number :
Provider Business Practice Location Address
First Line : 220 NW OREGON AVE STE 202
Second Line :
City : BEND
State : OR
Zip : 97703-2745
Country : US
Telephone Number : 541-846-8173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2018
Last Update Date : 02/21/2025

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Directions to “ KELSEY HOPKINS LCSW” Practice Location

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