Provider Demographics
NPI:1992805295
Name:HOOPER-KNOX, DONNA (MSW)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:HOOPER-KNOX
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 1:5300 SIX FORKS RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:919-785-3336
Mailing Address - Fax:919-783-7029
Practice Address - Street 1:5300 SIX FORKS RD
Practice Address - Street 2:SUITE 205
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-785-3336
Practice Address - Fax:919-783-7029
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0001181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
278778OtherMAMSI
43915OtherBCBS
6265136OtherUBH
332982OtherMAGELLAN
43915OtherBCBS