Provider Demographics
NPI:1508093451
Name:HOOKS, DIANE M (MSW,LCSW,LLC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:M
Last Name:HOOKS
Suffix:
Gender:F
Credentials:MSW,LCSW,LLC
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:M
Other - Last Name:HOOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:422 CHARLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08827-2535
Mailing Address - Country:US
Mailing Address - Phone:908-500-2049
Mailing Address - Fax:190-853-7753
Practice Address - Street 1:422 CHARLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-2535
Practice Address - Country:US
Practice Address - Phone:908-500-2049
Practice Address - Fax:190-853-7753
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00603900102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ093423Medicare PIN