MEDICARE: AMANDA HOCKING 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	14902482	IL
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1952788937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HOCKING LCSW

Provider Business Mailing Address
First Line	:	304 N 6TH ST STE C
Second Line	:
City	:	DEKALB
State	:	IL
Zip	:	60115-3484
Country	:	US
Telephone Number	:	815-375-5261
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 PLUM ST
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-3463
Country	:	US
Telephone Number	:	630-966-4475
Fax Number	:

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

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	05/09/2025

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Directions to “ AMANDA HOCKING LCSW” Practice Location

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