Provider Demographics
NPI:1962547570
Name:HOPKINS, ELAINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1127
Mailing Address - Country:US
Mailing Address - Phone:732-546-5138
Mailing Address - Fax:
Practice Address - Street 1:28 RIDGE RD
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1127
Practice Address - Country:US
Practice Address - Phone:732-546-5138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05232200101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ375523OtherMHN
NJP3480218OtherOXFORD
NJ9354654OtherPHCS
NJ085109Medicare ID - Type Unspecified