Provider Demographics
NPI:1396331369
Name:HAKE, ALLISON (LCSWA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:HAKE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7024 RAMBLING HILLS DR BLDG 702
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9305
Mailing Address - Country:US
Mailing Address - Phone:434-941-5016
Mailing Address - Fax:
Practice Address - Street 1:441 DARLINGTON AVE UNIT 306
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1366
Practice Address - Country:US
Practice Address - Phone:434-941-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0153061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical