Carol Hooper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5803 Issued in FL

Practice address

2120 US 1 S
St Augustine, FL 32086-4205

Phone

(904) 501-0846

Fax

(904) 217-7257

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carol Hooper, LCSW

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1568757458
  NPD (past) Authorized official

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1104815687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864205",
            "telephone_number": "904-209-6009",
            "fax_number": "904-209-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864205",
            "telephone_number": "904-501-0846",
            "fax_number": "904-217-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2052",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z029V",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070860700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Honey Pediatric Behavioral Health LLC
• Michelle Honore
• Kay Lewis Hood, AGACNP-BC
• Willemijntje Alexandra Hoogerwerf, MD
• Dorian L Hooks
• Hillary Bess Hooser, ARNP
• Kimberly Duke Hopkins, MS, ATC
• Andrew John Hoppe, D.D.S
• Brent Davin Hopson, PA-C
• Kaitlyn Hopson

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2019; 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.