Provider Demographics
NPI:1184066714
Name:HOCH, ELIZABETH ANN (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
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 1:339 BROADWAY
Mailing Address - Street 2:#104
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-6373
Mailing Address - Country:US
Mailing Address - Phone:510-407-7799
Mailing Address - Fax:
Practice Address - Street 1:339 BROADWAY
Practice Address - Street 2:#104
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-6373
Practice Address - Country:US
Practice Address - Phone:510-407-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical