| Carol Hooper, Lcsw | |
|
9 East Ln St Augustine FL 32084-3209 | |
| (904) 501-0846 | |
| (904) 461-8368 |
| Full Name | Carol Hooper, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 East Ln, St Augustine, Florida |
| Authorized Official Name and Position | Carol Hooper (OWNER/OPERATOR) |
| Authorized Official Contact | 90450102846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Hooper, Lcsw 9 East Ln St Augustine FL 32084-3209 Ph: (904) 501-0846 | Carol Hooper, Lcsw 9 East Ln St Augustine FL 32084-3209 Ph: (904) 501-0846 |
| NPI Number | 1568757458 |
|---|---|
| Provider Enumeration Date | 06/19/2011 |
| Last Update Date | 06/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568757458 | NPI | - | NPPES |
| Z02UZ | Other | FL | BCBS |
| 070860700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW5803 (Florida) | Primary |
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