Provider Demographics
NPI:1427128974
Name:HOOPES, LINDA MARIE (LSCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:HOOPES
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:ETZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:719 MASSACHUSETTS ST
Mailing Address - Street 2:SUITE 116
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044
Mailing Address - Country:US
Mailing Address - Phone:785-218-5747
Mailing Address - Fax:785-842-4025
Practice Address - Street 1:719 MASSACHUSETTS ST
Practice Address - Street 2:SUITE 116
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044
Practice Address - Country:US
Practice Address - Phone:785-218-5747
Practice Address - Fax:785-842-4025
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS20711041C0700X
KS2071LSCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS069684OtherBCBS KC
KS31595018OtherBCBS KS