Healthcare Provider Details

I. General information

NPI: 1134352404
Provider Name (Legal Business Name): RICHARD MORRIS HOBBS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 SHELBY ST
INDIANAPOLIS IN
46203-1945
US

IV. Provider business mailing address

1001 W 10TH ST
INDIANAPOLIS IN
46202-2859
US

V. Phone/Fax

Practice location:
  • Phone: 317-655-3200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34000133A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: