Provider Demographics
NPI:1730168295
Name:HOCKENSMITH, CAROL (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:HOCKENSMITH
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 BRINKERTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5832
Mailing Address - Country:US
Mailing Address - Phone:724-219-5971
Mailing Address - Fax:
Practice Address - Street 1:1230 BRINKERTON RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5832
Practice Address - Country:US
Practice Address - Phone:724-219-5971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC 00174101YM0800X
PAPC006164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2117112OtherFIRST HEALTH
RI6293970OtherUNITED HEALTH
RI30100-6OtherBLUE CROSS
RI409944OtherBLUE CHIP
RICH31783Medicaid