Individual provider Active NPI

Angelica Hopkins

  • Social Worker
  • Crestview Hills, KY
National Provider Identifier
1104679067
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
258975 Issued in KY
Practice address
328 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3488
Phone
(859) 431-6333
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 258975 KY Primary
Social Worker 104100000X 33011664A IN

Addresses

Primary practice location

328 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3488

Mailing address

1220 Huckleberry LN
Rising Sun, IN 47040-9391
Phone (812) 584-8413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260314000240 IN Practitioner - Clinical Social Worker 9234612516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

285 Bielby Rd
Lawrenceburg, IN 47025-1055

285 Bielby Rd
Lawrenceburg, IN 47025-1096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33011664AINMDSocial Worker
258975KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc Single Specialty CurrentSince Feb 19, 2026 Accepting new patients
Holly Maddy, LLC Single Specialty CurrentSince Apr 14, 2024 Accepting new patients

Locations

328 Thomas More Pkwy
Ste 102
Crestview Hills, KY 41017
Phone (859) 431-6333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1104679067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HUCKLEBERRY LN",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470409391",
            "telephone_number": "812-584-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY STE 102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "859-431-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "KY",
            "license": "258975",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33011664A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.