Healthcare Provider Details

I. General information

NPI: 1194599290
Provider Name (Legal Business Name): NICOLE J HOOD LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 WASHINGTON AVE
BAY CITY MI
48708-5846
US

IV. Provider business mailing address

5154 FLAXTON DR APT G5
SAGINAW MI
48603-1820
US

V. Phone/Fax

Practice location:
  • Phone: 989-684-7977
  • Fax: 800-235-1797
Mailing address:
  • Phone: 989-522-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851117530
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851117530
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: