Provider Demographics
NPI:1174755672
Name:ANDERSON-HOPKINS, CORDIA YVETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CORDIA
Middle Name:YVETTE
Last Name:ANDERSON-HOPKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6927 GLEN ROSA DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7020
Mailing Address - Country:US
Mailing Address - Phone:832-622-7805
Mailing Address - Fax:281-251-8516
Practice Address - Street 1:17510 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6785
Practice Address - Country:US
Practice Address - Phone:832-622-7805
Practice Address - Fax:812-518-5162
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX348241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177067909Medicaid