Provider Demographics
NPI:1295858561
Name:HOKA, LIDIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LIDIA
Middle Name:
Last Name:HOKA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 2ND AVE
Mailing Address - Street 2:SUITE 4N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4154
Mailing Address - Country:US
Mailing Address - Phone:212-628-0997
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:646-672-3570
Practice Address - Fax:212-423-7804
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046663-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical