Healthcare Provider Details

I. General information

NPI: 1912915539
Provider Name (Legal Business Name): JOSHUA HOOVER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 HOWE AVE STE 300
SACRAMENTO CA
95825-3369
US

IV. Provider business mailing address

1750 HOWE AVE STE 300
SACRAMENTO CA
95825-3369
US

V. Phone/Fax

Practice location:
  • Phone: 916-992-2620
  • Fax: 971-352-4229
Mailing address:
  • Phone: 916-992-2629
  • Fax: 971-352-4229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCS18611
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS18611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: