Individual provider Active NPI

Mary E Hoppa, MSW

  • Clinical Social Worker
  • Mukilteo, WA
National Provider Identifier
1437345196
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004149 Issued in WA
Practice address
7720 44TH Ave W
Mukilteo, WA 98275-2720
Phone
(425) 879-5283
Fax
(425) 322-5531
NPI assigned
Sep 17, 2007
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00004149 WA Primary

Addresses

Primary practice location

7720 44TH Ave W
Mukilteo, WA 98275-2720

Mailing address

7720 44TH Ave W
Mukilteo, WA 98275-2720
Phone (425) 879-5283

Other identifiers 1

IdentifierTypeStateIssuer
1980879MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140626002486 WA Practitioner - Clinical Social Worker 1456576867 Reassigns benefits to 1 organization
Practice locations: Everett, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1437345196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 44TH AVE W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752720",
            "telephone_number": "425-879-5283",
            "fax_number": "425-322-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 44TH AVE W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752720",
            "telephone_number": "425-879-5283",
            "fax_number": "425-322-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPA",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980879",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

Verify at the official NPI Registry.