Hooper, Carol

Hooper, Carol is an individual health care provider with primary practice located at 2120 Us 1 S , St Augustine FL 32086-4205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hooper, Carol can be contacted via phone (904) 501-0846.

Contact Information

Primary practice address
2120 Us 1 S St Augustine FL 32086-4205
Phone: (904) 501-0846
Fax: (904) 217-7257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2052 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW5803 Florida

Profile Details

NPI number 1104815687
LBN Legal business name Hooper, Carol
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Aug 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815687 NPPES
Florida Other Z029V BCBS
Florida MEDICAID 070860700 BCBS

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