Healthcare Provider Details

I. General information

NPI: 1518559517
Provider Name (Legal Business Name): CHRISTOPHER J HOOKER MSW, LMHC, LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 N MARTINSON RD
NEWMAN LAKE WA
99025-8482
US

IV. Provider business mailing address

5606 N MARTINSON RD
NEWMAN LAKE WA
99025-8482
US

V. Phone/Fax

Practice location:
  • Phone: 509-723-3723
  • Fax: 513-982-0437
Mailing address:
  • Phone: 509-723-3723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61549296
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61331932
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: