Provider Demographics
NPI:1205052586
Name:LOHKAMP, PAUL E (LCSW)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:E
Last Name:LOHKAMP
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 CHEZ PAREE DR
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-3599
Mailing Address - Country:US
Mailing Address - Phone:314-837-2050
Mailing Address - Fax:314-644-0427
Practice Address - Street 1:423 CHEZ PAREE DR
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-3599
Practice Address - Country:US
Practice Address - Phone:314-837-2050
Practice Address - Fax:314-644-0427
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0000351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical