Organization Active NPI

Kathryn Hockenberry LCSW LLC

  • Clinical Social Worker
  • Hollidaysburg, PA
National Provider Identifier
1891317814
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHRYN HOCKENBERRY LCSW LLC
Practice address
467 Church LN
Hollidaysburg, PA 16648-5241
Phone
(814) 650-9745
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathryn L Hockenberry Jr., LCSWNPI 1821136201
Title
Owner
Phone
(814) 650-9745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

467 Church LN
Hollidaysburg, PA 16648-5241

Mailing address

467 Church LN
Hollidaysburg, PA 16648-5241
Phone (814) 650-9745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211110002339 PA Part B Supplier - Clinic/Group Practice 0042609117 Receives reassigned benefits from 1 practitioner
Practice locations: Hollidaysburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1891317814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 CHURCH LN",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166485241",
            "telephone_number": "814-650-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 CHURCH LN",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166485241",
            "telephone_number": "814-650-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN HOCKENBERRY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "HOCKENBERRY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-650-9745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.