Healthcare Provider Details

I. General information

NPI: 1437692084
Provider Name (Legal Business Name): PATRICIA ANN HOBBS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 WEATHERSTONE PKWY
MARIETTA GA
30068-3486
US

IV. Provider business mailing address

222 WEATHERSTONE PKWY
MARIETTA GA
30068-3486
US

V. Phone/Fax

Practice location:
  • Phone: 678-209-1321
  • Fax:
Mailing address:
  • Phone: 678-209-1321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW005678
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: