Healthcare Provider Details

I. General information

NPI: 1922609163
Provider Name (Legal Business Name): ASHLEY HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S MAIN ST
DAYTON OH
45402-2708
US

IV. Provider business mailing address

660 S MAIN ST
DAYTON OH
45402-2708
US

V. Phone/Fax

Practice location:
  • Phone: 937-461-4800
  • Fax:
Mailing address:
  • Phone: 937-461-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2605241-TRNE
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: