MEDICARE: VERONICA M YOCKEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904010383	VA

General Provider Information

NPI Number	:	1710475504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA M YOCKEY LCSW

Provider Business Mailing Address
First Line	:	9 S INGLEWOOD PL
Second Line	:
City	:	FISHERSVILLE
State	:	VA
Zip	:	22939-2121
Country	:	US
Telephone Number	:	785-840-5481
Fax Number	:

Provider Business Practice Location Address
First Line	:	2340 COMMONWEALTH DR STE 100
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-1634
Country	:	US
Telephone Number	:	785-840-5481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	04/26/2018

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