Provider Demographics
NPI:1013676659
Name:HOOD, TRISTAN MICHAEL COLLINS (LCSW)
Entity Type:Individual
Prefix:
First Name:TRISTAN
Middle Name:MICHAEL COLLINS
Last Name:HOOD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:TANICIA
Other - Middle Name:MARIE
Other - Last Name:HOOD-ROMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:421 S SENTINEL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701-8243
Mailing Address - Country:US
Mailing Address - Phone:520-365-8607
Mailing Address - Fax:
Practice Address - Street 1:421 S SENTINEL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85701-8243
Practice Address - Country:US
Practice Address - Phone:520-365-8607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-1999921041C0700X
AZLCSW-199921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty