Provider Demographics
NPI:1225579535
Name:HOGUE, MARY HELEN (MSW, MPH, LCSW-S)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:HELEN
Last Name:HOGUE
Suffix:
Gender:F
Credentials:MSW, MPH, LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 ANTLER RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4505
Mailing Address - Country:US
Mailing Address - Phone:513-501-3751
Mailing Address - Fax:
Practice Address - Street 1:8300 ANTLER RIDGE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4505
Practice Address - Country:US
Practice Address - Phone:513-501-3751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ198591041C0700X
MD296671041C0700X
OHI.15014-SUPV1041C0700X
NV7530-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical