Healthcare Provider Details

I. General information

NPI: 1174479554
Provider Name (Legal Business Name): SARA L HOOKS LSCSW, LMAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10209 W CENTRAL AVE STE 1
WICHITA KS
67212-4685
US

IV. Provider business mailing address

10209 W CENTRAL AVE STE 1
WICHITA KS
67212-4685
US

V. Phone/Fax

Practice location:
  • Phone: 316-766-6341
  • Fax: 316-330-5507
Mailing address:
  • Phone: 316-221-8906
  • Fax: 316-400-5481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07296
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: