Provider Demographics
NPI:1568199909
Name:HODGES, ARIEL DANIELLE (MSW)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:DANIELLE
Last Name:HODGES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 PROSPERITY SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ROCK
Mailing Address - State:WV
Mailing Address - Zip Code:24747-4511
Mailing Address - Country:US
Mailing Address - Phone:304-921-8378
Mailing Address - Fax:
Practice Address - Street 1:881 PROSPERITY SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ROCK
Practice Address - State:WV
Practice Address - Zip Code:24747-4511
Practice Address - Country:US
Practice Address - Phone:304-921-8378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical