Provider Demographics
NPI:1427234608
Name:HOCKMAN, JOHN L JR (LCSW, CADC, CADC-IV)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:L
Last Name:HOCKMAN
Suffix:JR
Gender:M
Credentials:LCSW, CADC, CADC-IV
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7400 NEW LAGRANGE RD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4870
Mailing Address - Country:US
Mailing Address - Phone:502-426-4716
Mailing Address - Fax:502-426-4717
Practice Address - Street 1:73 QUARTERMASTER CT
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3623
Practice Address - Country:US
Practice Address - Phone:812-288-8360
Practice Address - Fax:502-426-4717
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININ 34004784A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical