Provider Demographics
NPI:1548497597
Name:HOOVER, VERONIKA LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VERONIKA
Middle Name:LEE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:VERONIKA
Other - Middle Name:LEE
Other - Last Name:GILLILAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4195 N. VIKING WAY
Mailing Address - Street 2:SUITE F
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808
Mailing Address - Country:US
Mailing Address - Phone:562-420-2112
Mailing Address - Fax:562-420-2110
Practice Address - Street 1:4195 N. VIKING WAY
Practice Address - Street 2:SUITE F
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808
Practice Address - Country:US
Practice Address - Phone:562-420-2112
Practice Address - Fax:562-420-2110
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA285101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical