Active NPI
Richard R. Hopkins Jr., LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1164636833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005636
- Practice address
- 3325 Washburn Ave
Suite 205
Charlotte, NC 28205-7024 - Phone
- (704) 492-4819
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005636 | NC | Primary |
Addresses
Primary practice location
3325 Washburn Ave
Suite 205
Charlotte, NC 28205-7024
Mailing address
3325 Washburn Ave
Suite 205
Charlotte, NC 28205-7024
Phone (704) 492-4819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106706 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005636 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1164636833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 WASHBURN AVE",
"address_2": "SUITE 205",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057024",
"telephone_number": "704-492-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 WASHBURN AVE",
"address_2": "SUITE 205",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057024",
"telephone_number": "704-492-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "RICHARD",
"middle_name": "R.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106706",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.