Provider Demographics
NPI:1710764451
Name:HOCKEMEYER, MERCEDES ANNE (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:MERCEDES
Middle Name:ANNE
Last Name:HOCKEMEYER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6208 SILVERCREEK DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-8784
Mailing Address - Country:US
Mailing Address - Phone:765-247-9294
Mailing Address - Fax:
Practice Address - Street 1:6208 SILVERCREEK DR
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-8784
Practice Address - Country:US
Practice Address - Phone:765-247-9294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011240A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health