Provider Demographics
NPI:1568602043
Name:HOOD, VIRGINIA F (LMSW, ACSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:F
Last Name:HOOD
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 POPLAR AVE
Mailing Address - Street 2:SUITE 318
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3213
Mailing Address - Country:US
Mailing Address - Phone:901-287-4700
Mailing Address - Fax:
Practice Address - Street 1:2400 POPLAR AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3213
Practice Address - Country:US
Practice Address - Phone:901-287-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000000593104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker