Healthcare Provider Details

I. General information

NPI: 1780327874
Provider Name (Legal Business Name): REBECCA HOBSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2022
Last Update Date: 04/16/2022
Certification Date: 04/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 WIENEKE RD
SAGINAW MI
48603-2600
US

IV. Provider business mailing address

850 WITHINGTON ST
FERNDALE MI
48220-1274
US

V. Phone/Fax

Practice location:
  • Phone: 989-262-7385
  • Fax: 989-652-3916
Mailing address:
  • Phone: 248-255-5612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801088899
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: