Provider Demographics
NPI:1356763403
Name:HOCKENBURY, KARA BETH (LCSW)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:BETH
Last Name:HOCKENBURY
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 1:4100 TAYLOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40215-2342
Mailing Address - Country:US
Mailing Address - Phone:502-366-4747
Mailing Address - Fax:502-996-8309
Practice Address - Street 1:4100 TAYLOR BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-2342
Practice Address - Country:US
Practice Address - Phone:502-366-4747
Practice Address - Fax:502-996-4747
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2529351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical