Provider Demographics
NPI:1831149996
Name:RENEAU, HOPE COOKE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:COOKE
Last Name:RENEAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:HOPE
Other - Middle Name:COOKE
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:9333 PARK WEST BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4341
Mailing Address - Country:US
Mailing Address - Phone:865-776-8885
Mailing Address - Fax:865-691-7364
Practice Address - Street 1:9333 PARK WEST BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4341
Practice Address - Country:US
Practice Address - Phone:865-776-8885
Practice Address - Fax:865-691-7364
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN45131041C0700X
TN4531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3987371Medicaid
TN3987371Medicaid