Provider Demographics
NPI:1316272883
Name:HOOPER, AMY LINN (LCSW-C, CEAP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LINN
Last Name:HOOPER
Suffix:
Gender:F
Credentials:LCSW-C, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 QUINCE ORCHARD BLVD
Mailing Address - Street 2:SUITE I
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1678
Mailing Address - Country:US
Mailing Address - Phone:240-274-5680
Mailing Address - Fax:240-715-9698
Practice Address - Street 1:849 QUINCE ORCHARD BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1678
Practice Address - Country:US
Practice Address - Phone:240-274-5680
Practice Address - Fax:240-715-9698
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD140461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical