FRED CHARLES BOCH (NPI# 1477618734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477618734 |
| Entity Type | Individual |
| Full Name | FRED CHARLES BOCH |
| Credential | LCSW |
| Practice Address |
9401 Holy Cross Ln Suite 112 Breese IL 62230-3510 |
| Practice Telephone | 6185267271 |
| Practice Fax Number | 6185267313 |
| Mailing Telephone | 6185267271 |
| Mailing Fax Number | 6185267313 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
9401 HOLY CROSS LN SUITE 112 |
| City | BREESE |
| State | IL |
| Zip Code | 62230-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612790 | Renato Bacol Rivera | Surgery | 9401 Holy Cross Ln, Suite 111, Breese, IL 62230-3510 | 2005-07-07 |
| 1417252453 | Amber Leigh Poettker | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2011-01-24 |
| 1174732945 | Douglas M. Kuhl | Pediatrics | 9401 Holy Cross Ln, Suite 112b, Breese, IL 62230-3510 | 2007-05-21 |
| 1013027945 | Roch Andre Lefebvre | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1326158254 | Jonathan Vaughn Osborn | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1740399674 | Timothy Manson Beaty | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1851401715 | Paula Robin Griffee-wilcox | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1265542120 | Amy Kathleen Krause | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1811945264 | David L Neighbors | Family Medicine | 9401 Holy Cross Ln, Breese, IL 62230-3510 | 2006-05-05 |
| 1992772289 | David Louis Kee | Podiatrist | 9401 Holy Cross Ln, Suite 115, Breese, IL 62230-3510 | 2006-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| Find all providers in zip 62230 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1841739620 | Solutions4wellness, Inc. | Social Worker | 110 N Main St, Breese, IL 62230-1630 | 2017-02-14 |
| 1326161969 | Christina R Diesen | Social Worker | 231 N Main St, Breese, IL 62230-1522 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.