Individual
KERITH HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2180 UNION AVE, MEMPHIS, TN 38104-4205
(901) 590-5737
Mailing address
125 E GE PATTERSON AVE APT 103, MEMPHIS, TN 38103-4519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077049185
DRIVERS LICENSE
TN
Enumeration date
01/18/2022
Last updated
02/24/2026
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