Healthcare Provider Details

I. General information

NPI: 1790353399
Provider Name (Legal Business Name): HANNA RENEE OCHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 N DIXIE HWY
MONROE MI
48162-5231
US

IV. Provider business mailing address

418 E ELM AVE
MONROE MI
48162-2657
US

V. Phone/Fax

Practice location:
  • Phone: 734-344-7432
  • Fax:
Mailing address:
  • Phone: 734-770-0827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851120174
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2411231
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: