Individual ProviderKerith HopperSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2180 Union Ave, Memphis, TN 38104-4205(901) 590-5737PECOS EnrollmentBased on the most recent information from CMS, provider Kerith Hopper does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184375461Provider TypeIndividualFull NameHopper, KerithCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date1/18/2022Last Updated2/24/2026Contact InformationPractice LocationPractice Address2180 Union Ave, Memphis, TN 38104-4205Phone(901) 590-5737FaxUnlisted FaxMailing LocationMailing Address125 E Ge Patterson Ave Apt 103, Memphis, TN 38103-4519PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID077049185DescriptionOtherIssuerDRIVERS LICENSETennessee