Provider Demographics
NPI:1922839075
Name:HOCKETT, JESSICA LYNN (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:HOCKETT
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSWA
Mailing Address - Street 1:250 MOBILE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28433-9122
Mailing Address - Country:US
Mailing Address - Phone:910-520-6187
Mailing Address - Fax:
Practice Address - Street 1:250 MOBILE RD
Practice Address - Street 2:
Practice Address - City:CLARKTON
Practice Address - State:NC
Practice Address - Zip Code:28433-9122
Practice Address - Country:US
Practice Address - Phone:910-520-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0210841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical