Provider Demographics
NPI:1952423055
Name:HOOKWAY, KATHERINE COX (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:COX
Last Name:HOOKWAY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 STERLING STREET
Mailing Address - Street 2:SUITE 29
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1268
Mailing Address - Country:US
Mailing Address - Phone:508-835-4440
Mailing Address - Fax:508-835-9948
Practice Address - Street 1:45 STERLING ST
Practice Address - Street 2:SUITE 29
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1200
Practice Address - Country:US
Practice Address - Phone:508-835-4440
Practice Address - Fax:508-835-9948
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1075451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA22260818202OtherPACIFICARE #
MA361759OtherTUFTS #
MA2083783OtherCIGNA
MAP07806OtherBLUE CROSS BLUE SHIELD #
MA107545OtherLICENSE # MA
MA012133OtherVALUE OPTIONS
MA107545OtherLICENSE # MA