Healthcare Provider Details

I. General information

NPI: 1902954241
Provider Name (Legal Business Name): LAURA HOCHMAN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURIE HOCHMAN LICSW

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD STE E102
NORTH KINGSTOWN RI
02852-4158
US

IV. Provider business mailing address

31 COVINGTON DR
WARWICK RI
02886-1904
US

V. Phone/Fax

Practice location:
  • Phone: 401-464-2268
  • Fax:
Mailing address:
  • Phone: 401-464-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW01885
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114155
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number213373
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: