Provider Demographics
NPI:1205572989
Name:HOCKING, SHERRY A (CHW)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:A
Last Name:HOCKING
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:A
Other - Last Name:HOCKING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EMT
Mailing Address - Street 1:12927 SCHMELE RD
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:SD
Mailing Address - Zip Code:57760-5840
Mailing Address - Country:US
Mailing Address - Phone:605-210-0703
Mailing Address - Fax:
Practice Address - Street 1:108 4TH STREET
Practice Address - Street 2:
Practice Address - City:NEWELL
Practice Address - State:SD
Practice Address - Zip Code:57760
Practice Address - Country:US
Practice Address - Phone:605-210-0703
Practice Address - Fax:605-456-2067
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker