Healthcare Provider Details

I. General information

NPI: 1720699036
Provider Name (Legal Business Name): ASHLEY ELIZABETH HOBBS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 08/23/2022
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W NIFONG BLVD BUILDING 2, SUITE 140
COLUMBIA MO
65203-5615
US

IV. Provider business mailing address

PO BOX 843966
KANSAS CITY MO
64184-3966
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-1130
  • Fax: 573-884-5936
Mailing address:
  • Phone: 573-884-3300
  • Fax: 573-884-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2019023384
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2021044498
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: