Provider Demographics
NPI:1831137884
Name:HOCKING, MARILYN M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:M
Last Name:HOCKING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARILYN
Other - Middle Name:D
Other - Last Name:HOCKING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1149 ROSE HILL DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-5161
Mailing Address - Country:US
Mailing Address - Phone:434-296-3850
Mailing Address - Fax:434-296-2928
Practice Address - Street 1:1149 ROSE HILL DR
Practice Address - Street 2:SUITE D
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-5161
Practice Address - Country:US
Practice Address - Phone:434-296-3850
Practice Address - Fax:434-296-2928
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040005221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA082070OtherSENTARA
VA032141OtherVALUE OPTIONS
VA4591130OtherAETNA
VA3124854OtherMAMSI/UNITED HEALTH CARE
VA116375OtherANTHEM BC-BS
VA594374OtherUNITED BEHAVIORAL HEALTH
VA263582000OtherMAGELLEN
VA3124854OtherMAMSI/UNITED HEALTH CARE
VA263582000OtherMAGELLEN