Healthcare Provider Details

I. General information

NPI: 1659085330
Provider Name (Legal Business Name): ZOE D KOCHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1158 WESTWOOD DR
VAN WERT OH
45891-2449
US

IV. Provider business mailing address

1158 WESTWOOD DR
VAN WERT OH
45891-2449
US

V. Phone/Fax

Practice location:
  • Phone: 419-238-3434
  • Fax:
Mailing address:
  • Phone: 419-238-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberW.2400404
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.192207
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: