Provider Demographics
NPI:1710475504
Name:YOCKEY, VERONICA M (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:M
Last Name:YOCKEY
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 1:9 S INGLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2121
Mailing Address - Country:US
Mailing Address - Phone:785-840-5481
Mailing Address - Fax:
Practice Address - Street 1:2340 COMMONWEALTH DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1634
Practice Address - Country:US
Practice Address - Phone:785-840-5481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040103831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical