Kellie A Hopkins, LISW, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203750 Issued in OH

Practice address

5151 Monroe St Ste 200
Toledo, OH 43623-3466

Phone

(419) 405-3899

Fax

(419) 405-3899

NPI assigned

Nov 9, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kellie Hopkins, Licdc, LLC

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1750174181
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1013420256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 WHITE ST",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449417",
            "telephone_number": "419-405-3899",
            "fax_number": "419-405-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233466",
            "telephone_number": "419-405-3899",
            "fax_number": "419-405-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KELLIE",
        "middle_name": "A",
        "credential": "LISW, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC161960",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Lynn Hopfer, RN
• Philecia Hopkins-Hutchinson
• Brenda Hopkins, LPN
• Francois J Hopkins, CRNA
• Ivy R Hopkins, COUNSELOR
• Tia Hopkins, CNP
• Virginia Hopper, RN
• Craig T Hopple, M.D.
• Carin V Hopps, M.D.
• Alice Dawkins Hopson, LMSW

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.