Provider Demographics
NPI:1245464916
Name:HOKKANEN, LISA RENAE (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:RENAE
Last Name:HOKKANEN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:(122)
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-5363
Mailing Address - Fax:612-725-2126
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:(122)
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-5363
Practice Address - Fax:612-725-2126
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN135401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical