Provider Demographics
NPI:1366558611
Name:HOOK, RANDALL B (LCSW)
Entity type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:B
Last Name:HOOK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 CANTRELL AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3248
Mailing Address - Country:US
Mailing Address - Phone:540-564-5960
Mailing Address - Fax:540-433-4338
Practice Address - Street 1:752 OTT ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3214
Practice Address - Country:US
Practice Address - Phone:540-564-5960
Practice Address - Fax:540-433-4338
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040047631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA474188OtherVALUE OPTIONS
VA404228OtherTRICARE
VA087860MOtherSENTARA PROVIDER NUMBER
VA184116OtherANTHEM PROVIDER NUMBER
VA8306970OtherCIGNA PROVIDER NUMBER
VA11526362OtherCAQH
VA1164637518OtherGROUP NPI NUMBER
VA010248388Medicaid
VAC05754OtherMEDICARE GROUP NUMBER
VA281003OtherCOMPSYCH
VA1164637518OtherGROUP NPI NUMBER