Healthcare Provider Details

I. General information

NPI: 1396621504
Provider Name (Legal Business Name): ADRIANNA HOOKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4780 I 55 N STE 100
JACKSON MS
39211-5583
US

IV. Provider business mailing address

4780 I 55 N STE 100
JACKSON MS
39211-5583
US

V. Phone/Fax

Practice location:
  • Phone: 601-706-9488
  • Fax:
Mailing address:
  • Phone: 601-706-9488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberC11609
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: