Provider Demographics
NPI:1972814689
Name:HOOK, RONALD JACOB (LMSW)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JACOB
Last Name:HOOK
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29600 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE #100A
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1016
Mailing Address - Country:US
Mailing Address - Phone:248-352-9494
Mailing Address - Fax:248-353-8107
Practice Address - Street 1:29600 NORTHWESTERN HWY
Practice Address - Street 2:SUITE #100A
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1016
Practice Address - Country:US
Practice Address - Phone:248-352-9494
Practice Address - Fax:248-353-8107
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010110301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical