Healthcare Provider Details

I. General information

NPI: 1366561383
Provider Name (Legal Business Name): MARLENE HOLLIS OCHETTI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6519 8TH AVE BUNGALOW B-46
LOS ANGELES CA
90043-4313
US

IV. Provider business mailing address

475 CLIFF DR
PASADENA CA
91107-3045
US

V. Phone/Fax

Practice location:
  • Phone: 323-750-5167
  • Fax:
Mailing address:
  • Phone: 626-351-6228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS17352
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLCS17352
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: