Individual provider Active NPI

Andrea Hopkins, LCSW, LPC, MAC

  • Clinical Social Worker
  • Clackamas, OR
National Provider Identifier
1215378047
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6097 Issued in OR
Practice address
15300 SE Minuteman Way
Clackamas, OR 97015-9372
Phone
(503) 683-4903
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C4084 OR
Clinical Social Worker 1041C0700X L6097 OR Primary

Addresses

Primary practice location

15300 SE Minuteman Way
Clackamas, OR 97015-9372

Mailing address

1707 SE Lexington St
Portland, OR 97202-6150
Phone (541) 609-0712

Other practice location 1

1707 SE Lexington St
Portland, OR 97202-6150
Phone (541) 609-0712

Other practice location 2

1601 E 4th Plain Blvd
Bldg 11
Vancouver, WA 98661-3753
Phone (503) 220-8262 ext. 33196

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

LicenseStateTypeSpecialty
C4084ORMDProfessional Counselor
L6097ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1215378047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 SE LEXINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026150",
            "telephone_number": "541-609-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 SE MINUTEMAN WAY",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159372",
            "telephone_number": "503-683-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 SE Lexington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026150",
            "country_code": "US",
            "telephone_number": "541-609-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 E 4th Plain Blvd",
            "address_2": "Bldg 11",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986613753",
            "country_code": "US",
            "telephone_number": "503-220-8262 x33196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "ANDREA",
        "credential": "LCSW, LPC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.