Provider Demographics
NPI:1902954241
Name:HOCHMAN, LAURA (LICSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HOCHMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2364 POST RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2232
Mailing Address - Country:US
Mailing Address - Phone:401-921-5013
Mailing Address - Fax:401-921-5014
Practice Address - Street 1:2364 POST RD STE 202
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2232
Practice Address - Country:US
Practice Address - Phone:401-921-5013
Practice Address - Fax:401-921-5014
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1141551041C0700X
MA2133731041C0700X
RIISW018851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RILS69269RIMedicaid