MEDICARE: MISS HEATHER LYNN HOPKINS 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
1	104100000X	Social Worker	S0901285	OH

General Provider Information

NPI Number	:	1992051288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS HEATHER LYNN HOPKINS LSW

Provider Business Mailing Address
First Line	:	3530 VILLA CASA CT
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-3748
Country	:	US
Telephone Number	:	440-829-5523
Fax Number	:

Provider Business Practice Location Address
First Line	:	2155 ABBEYVILLE RD
Second Line	:
City	:	VALLEY CITY
State	:	OH
Zip	:	44280-9537
Country	:	US
Telephone Number	:	440-829-5523
Fax Number	:

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

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	06/10/2025

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