Provider Demographics
NPI:1972716355
Name:HOCH, EVELYN FAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:FAY
Last Name:HOCH
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 1:5838 COLBY ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1225
Mailing Address - Country:US
Mailing Address - Phone:510-547-3759
Mailing Address - Fax:510-547-3759
Practice Address - Street 1:3830 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5354
Practice Address - Country:US
Practice Address - Phone:510-547-3759
Practice Address - Fax:510-547-3759
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALY70911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical