Provider Demographics
NPI:1083422471
Name:HOOVER, CATHERINE LOUISE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LOUISE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10915 RICHARDS CT
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3751
Mailing Address - Country:US
Mailing Address - Phone:913-213-0514
Mailing Address - Fax:
Practice Address - Street 1:8016 STATE LINE RD STE 201
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3729
Practice Address - Country:US
Practice Address - Phone:913-549-9543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW13978104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker