MEDICARE: JAMES C. HOOVER LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	07509	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	547531 05 07	OTHER	MD	CAREFIRST BC BS
2	M093 0013	OTHER	DC	BLUE CHOICE BC BS
3	425083	OTHER	MD	MAMSI
4	KN31SE	OTHER	MD	CAREFIRST BC BS

General Provider Information

NPI Number	:	1083690788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C. HOOVER LCSW-C

Provider Business Mailing Address
First Line	:	30 S COLONIAL DR
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-5954
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 SETON DR
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-1854
Country	:	US
Telephone Number	:	301-723-1443
Fax Number	:	301-723-1480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	07/08/2007

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Directions to “ JAMES C. HOOVER LCSW-C” Practice Location

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