Healthcare Provider Details

I. General information

NPI: 1992466775
Provider Name (Legal Business Name): JESSALYN HOBSON MS, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 TWOMBLY ST
DOVER NH
03820-3136
US

IV. Provider business mailing address

PO BOX 441
BARRINGTON NH
03825-0441
US

V. Phone/Fax

Practice location:
  • Phone: 603-969-2684
  • Fax:
Mailing address:
  • Phone: 603-969-2684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number127423
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2117
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: