Healthcare Provider Details

I. General information

NPI: 1417213307
Provider Name (Legal Business Name): BETTY GAIL HOSKINS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HOSPITAL RD
SENORA CA
95370-4618
US

IV. Provider business mailing address

2 S. GREEN ST
SENORA CA
95370-4618
US

V. Phone/Fax

Practice location:
  • Phone: 209-533-6245
  • Fax:
Mailing address:
  • Phone: 209-533-6245
  • Fax: 209-533-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW26208
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCS 26208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: