Organization Active NPI

Carol Hooper, LCSW

  • Clinical Social Worker
  • St Augustine, FL
National Provider Identifier
1568757458
Registry record updated Jun 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5803 Issued in FL
Legal business name
CAROL HOOPER, LCSW
Practice address
9 East LN
St Augustine, FL 32084-3209
Phone
(904) 501-0846
Fax
(904) 461-8368
NPI assigned
Jun 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2011

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

Authorized official

Name
Carol Hooper, LCSWNPI 1104815687
Title
Owner/Operator
Phone
90450102846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5803 FL Primary

Addresses

Primary practice location

9 East LN
St Augustine, FL 32084-3209

Mailing address

9 East LN
St Augustine, FL 32084-3209
Phone (904) 501-0846

Other identifiers 2

IdentifierTypeStateIssuer
Z02UZOtherFLBCBS
070860700MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308441600000",
    "number": "1568757458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EAST LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843209",
            "telephone_number": "904-501-0846",
            "fax_number": "904-461-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAST LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843209",
            "telephone_number": "904-501-0846",
            "fax_number": "904-461-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL HOOPER, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-19",
        "last_updated": "2011-06-19",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "90450102846",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z02UZ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070860700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2011; 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.