Provider Demographics
NPI:1982693362
Name:HOKE, DENISE RAE (LISW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:RAE
Last Name:HOKE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 E COLLEGE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1696
Mailing Address - Country:US
Mailing Address - Phone:319-339-8231
Mailing Address - Fax:319-358-2323
Practice Address - Street 1:312 E COLLEGE ST STE 200
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1696
Practice Address - Country:US
Practice Address - Phone:319-339-8231
Practice Address - Fax:319-358-2323
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA063101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA06310OtherSOCIAL WORK LICENSE