MEDICARE: DANIELLE SUZANNE HOPWOOD LMSW

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	6801094247	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1831451657	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1831451657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE SUZANNE HOPWOOD LMSW

Provider Business Mailing Address
First Line	:	PO BOX 462
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-0462
Country	:	US
Telephone Number	:	616-335-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	923 S BEECHTREE ST
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-2306
Country	:	US
Telephone Number	:	616-335-1168
Fax Number	:

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

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	07/21/2022

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