Provider Demographics
NPI:1043297302
Name:HOOK, KAY C (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAY
Middle Name:C
Last Name:HOOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 N WALTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4576
Mailing Address - Country:US
Mailing Address - Phone:479-464-1060
Mailing Address - Fax:479-271-6307
Practice Address - Street 1:106 RIDGEWAY ST STE H
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7157
Practice Address - Country:US
Practice Address - Phone:501-609-0400
Practice Address - Fax:501-609-0166
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR101Y00000X
AR1297-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR71-0401764OtherCORPHEALTH
AR116399726Medicaid
AR62102521OtherUNITED BEHAVIORAL HEALTH
AR185563OtherCOMPSYCH
AR2159297OtherCIGNA BEHAVIORAL HEALTH
AR5T674OtherBLUE CROSS & BLUE SHIELD
AR232948OtherMHN NETWORK
AR3070016100OtherQUAL-CHOICE
AR297153000OtherMAGELLAN
AR60054OtherAETNA
AR337595OtherVALUE OPTIONS
AR946150OtherUSA MANAGED CARE
AR185563OtherCOMPSYCH