| Kathryn Hockenberry Lcsw Llc | |
|
467 Church Ln Hollidaysburg PA 16648-5241 | |
| (814) 650-9745 | |
| Not Available |
| Full Name | Kathryn Hockenberry Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 467 Church Ln, Hollidaysburg, Pennsylvania |
| Authorized Official Name and Position | Kathryn L Hockenberry (OWNER) |
| Authorized Official Contact | 8146509745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Hockenberry Lcsw Llc 467 Church Ln Hollidaysburg PA 16648-5241 Ph: (814) 650-9745 | Kathryn Hockenberry Lcsw Llc 467 Church Ln Hollidaysburg PA 16648-5241 Ph: (814) 650-9745 |
| NPI Number | 1891317814 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Medicare PECOS PAC ID | 0042609117 |
|---|---|
| Medicare Enrollment ID | O20211110002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891317814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Lynn Hockenberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821136201 PECOS PAC ID: 7517200439 Enrollment ID: I20190516002090 |
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