Provider Demographics
NPI:1417263013
Name:HOOVER, NICOLE ERIN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ERIN
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:ERIN
Other - Last Name:STRNAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, LLMSW
Mailing Address - Street 1:908 HENSLEE DR
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-5332
Mailing Address - Country:US
Mailing Address - Phone:586-484-3988
Mailing Address - Fax:
Practice Address - Street 1:43630 HAYES RD STE 120
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-3536
Practice Address - Country:US
Practice Address - Phone:586-412-1510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1841577104100000X
MI68010924081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker