Provider Demographics
NPI:1568673838
Name:HOOK MUHAMMAD, MALIKA ALIYA (LMSW, MED)
Entity Type:Individual
Prefix:MS
First Name:MALIKA
Middle Name:ALIYA
Last Name:HOOK MUHAMMAD
Suffix:
Gender:F
Credentials:LMSW, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2288 ANVIL LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4270
Mailing Address - Country:US
Mailing Address - Phone:202-630-4665
Mailing Address - Fax:
Practice Address - Street 1:2288 ANVIL LN
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4270
Practice Address - Country:US
Practice Address - Phone:202-531-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY720740781041C0700X
172V00000X, 174H00000X, 175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist