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NPI Code Detail

MEDICARE: KETURAH ANN HOOD LCSW

MEDICARE: KETURAH ANN HOOD LCSW
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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker81315CA

General Provider Information

NPI Number : 1629241138
Entity Type Code : Individual
Provider Name (Legal Business Name) : KETURAH ANN HOOD LCSW
Provider Business Mailing Address
First Line : 302 HOLSTEIN DR
Second Line :
City : OAKLEY
State : CA
Zip : 94561-1098
Country : US
Telephone Number : 408-637-3414
Fax Number :
Provider Business Practice Location Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 408-637-3414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 10/16/2025

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