Healthcare Provider Details

I. General information

NPI: 1730137852
Provider Name (Legal Business Name): CHERYL A. HOOVER LCSW, BCD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 REITZ BLVD SUITE 101
LEWISBURG PA
17837-9293
US

IV. Provider business mailing address

11 REITZ BOULEVARD SUITE 101
LEWISBURG PA
17837
US

V. Phone/Fax

Practice location:
  • Phone: 570-524-0881
  • Fax: 570-524-9738
Mailing address:
  • Phone: 570-524-0881
  • Fax: 570-524-9738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013345
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: