1245470673 NPI number — MS. CHRISTY NADYNE HOPWOOD LCSW

Table of content: MS. CHRISTY NADYNE HOPWOOD LCSW (NPI 1245470673)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245470673 NPI number — MS. CHRISTY NADYNE HOPWOOD LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPWOOD
Provider First Name:
CHRISTY
Provider Middle Name:
NADYNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245470673
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3216 BEMENT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PADUCAH
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42003-5735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-564-6887
Provider Business Mailing Address Fax Number:
270-534-0232

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2850 ADAMS ST STE 12
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PADUCAH
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42001-4110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-564-6887
Provider Business Practice Location Address Fax Number:
270-534-0232
Provider Enumeration Date:
02/25/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  3230 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)