Provider Demographics
NPI:1073918918
Name:OCHENKOWSKI, KAYTIE LYNNE (LMSW)
Entity type:Individual
Prefix:MS
First Name:KAYTIE
Middle Name:LYNNE
Last Name:OCHENKOWSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 BINGHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3720
Mailing Address - Country:US
Mailing Address - Phone:248-535-3126
Mailing Address - Fax:
Practice Address - Street 1:1749 HAMILTON RD
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1938
Practice Address - Country:US
Practice Address - Phone:517-477-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801097114104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker