Provider Demographics
NPI:1700353471
Name:HOCHBERG, CHARITY HOPE (LMSW)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:HOPE
Last Name:HOCHBERG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:HOPE
Other - Last Name:HOUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2364 BERNARD RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1169
Mailing Address - Country:US
Mailing Address - Phone:140-443-2206
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1142
Practice Address - Country:US
Practice Address - Phone:404-432-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW007243104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker