Healthcare Provider Details

I. General information

NPI: 1003303413
Provider Name (Legal Business Name): AMY JANE HOBBS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 ROSEWOOD DR
RENO NV
89509-3635
US

IV. Provider business mailing address

PO BOX 61684
RENO NV
89506-0035
US

V. Phone/Fax

Practice location:
  • Phone: 775-750-9995
  • Fax:
Mailing address:
  • Phone: 775-750-9995
  • Fax: 775-737-9437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberIC-1213
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: