Healthcare Provider Details

I. General information

NPI: 1093382665
Provider Name (Legal Business Name): QUINTON L HOSKIE LCSWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 CHURCH ST N STE 240
CONCORD NC
28025-4525
US

IV. Provider business mailing address

300 MOORESVILLE RD
KANNAPOLIS NC
28081-0304
US

V. Phone/Fax

Practice location:
  • Phone: 704-920-1199
  • Fax: 704-445-7508
Mailing address:
  • Phone: 704-920-1199
  • Fax: 704-455-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP016135
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: