Healthcare Provider Details

I. General information

NPI: 1992954135
Provider Name (Legal Business Name): DORIS M KOCHINSKY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 KOCHINSKY RD
NATCHITOCHES LA
71457-4278
US

IV. Provider business mailing address

271 KOCHINSKY RD
NATCHITOCHES LA
71457-4278
US

V. Phone/Fax

Practice location:
  • Phone: 318-379-2174
  • Fax:
Mailing address:
  • Phone: 318-379-2174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2043
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: