Healthcare Provider Details

I. General information

NPI: 1871900860
Provider Name (Legal Business Name): SHARLENE HOBSON LCSW, SIFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 W 18TH ST FL 4
NEW YORK NY
10011-4401
US

IV. Provider business mailing address

370 E 162ND ST APT 3A
BRONX NY
10451-4197
US

V. Phone/Fax

Practice location:
  • Phone: 212-271-7206
  • Fax: 212-271-8116
Mailing address:
  • Phone: 646-241-9181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number082031
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: