=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871900860
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARLENE HOBSON LCSW, SIFI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2014
-----------------------------------------------------
Last Update Date | 03/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 356 W 18TH ST FL 4
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10011-4401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-271-7206
-----------------------------------------------------
Fax | 212-271-8116
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 370 E 162ND ST APT 3A
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10451-4197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-241-9181
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 082031
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------