Provider Demographics
NPI:1417034844
Name:HOOVER, SHARON WEAVER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:WEAVER
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 1:10421 CARRIAGEPARK CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2365
Mailing Address - Country:US
Mailing Address - Phone:703-249-2948
Mailing Address - Fax:
Practice Address - Street 1:5274 LYNGATE COURT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2885
Practice Address - Country:US
Practice Address - Phone:703-249-2948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040015001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA210246OtherBLUE CROSS BLUE SHIELD
VA210246OtherBLUE CROSS BLUE SHIELD
VA300559OtherAMERIGROUP