Individual provider Active NPI

Linda W Hopkins, LCSW

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1376861633
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048035-1 Issued in NY
Practice address
233 S Albany St
Ithaca, NY 14850-5403
Phone
(607) 229-6344
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28760 MD
Clinical Social Worker 1041C0700X R048035-1 NY Primary

Addresses

Primary practice location

233 S Albany St
Ithaca, NY 14850-5403

Mailing address

233 S Albany St
Ithaca, NY 14850-5403
Phone (607) 229-6344

Other identifiers 2

IdentifierTypeStateIssuer
03872126MedicaidNY
28760OtherMDMARYLAND LICENSE NUMBER

Other names 1

  • Ms. Linda Hopkins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160922000410 NY Practitioner - Clinical Social Worker 5496042202 Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

233 S Albany St
Ithaca, NY 14850-5403
Phone (607) 229-6344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048035-1NYMDClinical Social Worker
28760MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1376861633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-229-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-229-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "LINDA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28760",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048035-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03872126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE NUMBER",
            "identifier": "28760",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HOPKINS",
            "prefix": "MS.",
            "credential": "LCSW-R, LCSWC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.