Healthcare Provider Details

I. General information

NPI: 1407176241
Provider Name (Legal Business Name): SHEILA H HOCHMAN LAST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA H. HOCHMAN LCSW

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 W PASSAIC ST 2ND FLOOR
ROCHELLE PARK NJ
07662-3027
US

IV. Provider business mailing address

336 W PASSAIC ST 2ND FLOOR
ROCHELLE PARK NJ
07662-3027
US

V. Phone/Fax

Practice location:
  • Phone: 201-845-7030
  • Fax: 201-845-0899
Mailing address:
  • Phone: 201-845-7030
  • Fax: 201-845-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL05623100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: