Provider Demographics
NPI:1154319465
Name:HOCHBERGER, NOREEN MANDELL (MSW)
Entity Type:Individual
Prefix:MS
First Name:NOREEN
Middle Name:MANDELL
Last Name:HOCHBERGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:NOREEN
Other - Middle Name:IRIS
Other - Last Name:MANDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:305 NW 111TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7982
Mailing Address - Country:US
Mailing Address - Phone:954-461-9030
Mailing Address - Fax:954-344-2065
Practice Address - Street 1:1801 N UNIVERSITY DR
Practice Address - Street 2:SUITE 208
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8920
Practice Address - Country:US
Practice Address - Phone:954-344-0266
Practice Address - Fax:954-344-2065
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW1851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3759Medicare ID - Type Unspecified