Provider Demographics
NPI:1689041170
Name:HOCKENBERRY, CHERISH LILY (BA)
Entity Type:Individual
Prefix:MS
First Name:CHERISH
Middle Name:LILY
Last Name:HOCKENBERRY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 ASYLUM AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2801
Mailing Address - Country:US
Mailing Address - Phone:860-493-1841
Mailing Address - Fax:
Practice Address - Street 1:839 ASYLUM AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2801
Practice Address - Country:US
Practice Address - Phone:860-493-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker