Provider Demographics
NPI:1396756466
Name:YOCKEY, WILLIAM B (MSW,LCSW,BCD, LISW-S)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:YOCKEY
Suffix:
Gender:M
Credentials:MSW,LCSW,BCD, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14513 S TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:LINESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16424-5953
Mailing Address - Country:US
Mailing Address - Phone:814-683-4756
Mailing Address - Fax:
Practice Address - Street 1:14513 S TOWNLINE RD
Practice Address - Street 2:
Practice Address - City:LINESVILLE
Practice Address - State:PA
Practice Address - Zip Code:16424-5953
Practice Address - Country:US
Practice Address - Phone:814-683-4756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW002449L1041C0700X
OHI.0900161-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical