=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336648864
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN PAUL HOOK LICSW, MSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2018
-----------------------------------------------------
Last Update Date | 02/10/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16710 SMOKEY POINT BLVD STE 203
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98223-8435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-403-0722
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21019 252ND ST NE
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98223-6838
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-403-0722
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LW60622053
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------