Provider Demographics
NPI:1891236063
Name:OCHRYM, LOIS C (LCSW)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:C
Last Name:OCHRYM
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 1:3619 VIA BERNARDO
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-7223
Mailing Address - Country:US
Mailing Address - Phone:858-204-6421
Mailing Address - Fax:
Practice Address - Street 1:3619 VIA BERNARDO
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-7223
Practice Address - Country:US
Practice Address - Phone:858-204-6421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 712961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical