Provider Demographics
NPI:1053121277
Name:HOOD, KRISTEN ALTHEA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ALTHEA
Last Name:HOOD
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 1:5 PREMIER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-2943
Mailing Address - Country:US
Mailing Address - Phone:314-544-3800
Mailing Address - Fax:
Practice Address - Street 1:5 PREMIER DR STE 200
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2943
Practice Address - Country:US
Practice Address - Phone:314-544-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240077411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical