Kelley Kopitzke Hood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

258890 Issued in KY

Practice address

Landstuhl Regional Medical Center Unit 33100
Apo, Ae 09180-3100
Apo, NY 09180

Phone

(314) 590-1211

NPI assigned

May 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1902654783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100",
            "address_2": "APO, AE 09180-3100",
            "city": "APO",
            "state": "NY",
            "postal_code": "09180",
            "telephone_number": "314-590-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100",
            "address_2": "APO, AE 09180-3100",
            "city": "APO",
            "state": "NY",
            "postal_code": "09180",
            "telephone_number": "314-590-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "KELLEY",
        "middle_name": "KOPITZKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Duc Dao, D.P.M.
• Jose M De Asis, M.D.
• Michael Ryan Donohue, DPT
• Andrew Joseph Gausepohl, MD
• Jacob Hansen, DO
• Victoria Rose Hundertmark, MD
• Garett E Jackson, M.D.
• Shonda Renee Janke, M.D.
• Angela Lyn Johnson, LCSW
• Chad Killpack, PSY.D., ABPP

• All providers in Apo, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.