Provider Demographics
NPI:1376893131
Name:HOOVER, CATHERINE LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LEE
Last Name:HOOVER
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 1:3036 ACADEMY DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-4712
Mailing Address - Country:US
Mailing Address - Phone:229-247-5214
Mailing Address - Fax:229-245-6561
Practice Address - Street 1:3036 ACADEMY DR
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31605-4712
Practice Address - Country:US
Practice Address - Phone:229-247-5214
Practice Address - Fax:229-245-6561
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator