Provider Demographics
NPI:1235892977
Name:CHOY, DORIECE (LCSW)
Entity Type:Individual
Prefix:
First Name:DORIECE
Middle Name:
Last Name:CHOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:DORIECE
Other - Middle Name:
Other - Last Name:CHOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2504 BEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-7706
Mailing Address - Country:US
Mailing Address - Phone:574-360-7517
Mailing Address - Fax:
Practice Address - Street 1:2504 BEDFORD DR
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-7706
Practice Address - Country:US
Practice Address - Phone:574-360-7517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490227061041C0700X
IN34006742A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical