Provider Demographics
NPI:1437700903
Name:HOCHBRUECKNER, REBECCA ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:HOCHBRUECKNER
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 1:7916 ORANGE PLANK RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2345
Mailing Address - Country:US
Mailing Address - Phone:703-405-1948
Mailing Address - Fax:
Practice Address - Street 1:7432 ALBAN STATION BLVD STE B228
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2332
Practice Address - Country:US
Practice Address - Phone:703-405-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040112801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical