Provider Demographics
NPI:1326430158
Name:SCHOCH, MERRY SCHOCH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MERRY
Middle Name:SCHOCH
Last Name:SCHOCH
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 1:710 OAKFIELD DR STE 210
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4924
Mailing Address - Country:US
Mailing Address - Phone:813-523-6573
Mailing Address - Fax:813-654-7673
Practice Address - Street 1:710 OAKFIELD DR STE 210
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-523-6573
Practice Address - Fax:813-654-7673
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW125681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical