Healthcare Provider Details

I. General information

NPI: 1881813046
Provider Name (Legal Business Name): SHARON GACHO HOBSON LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON G. RICHARDSON LCSW-C

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 PARLIAMENT PL STE A
LANHAM MD
20706-1868
US

IV. Provider business mailing address

18906 HORSEHEAD RD
BRANDYWINE MD
20613-3603
US

V. Phone/Fax

Practice location:
  • Phone: 240-350-9777
  • Fax: 301-579-6624
Mailing address:
  • Phone: 240-350-9777
  • Fax: 301-579-6624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11195
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: