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NPI Code Detail

MEDICARE: KATIE A HOBBS LCSW,

MEDICARE:   KATIE A HOBBS  LCSW,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL12352OR
2104100000XSocial Worker
31041C0700XClinical Social Worker70433CA

General Provider Information

NPI Number : 1770776551
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE A HOBBS LCSW,
Provider Business Mailing Address
First Line : PO BOX 1121
Second Line :
City : ROSEBURG
State : OR
Zip : 97470-0254
Country : US
Telephone Number : 541-672-2691
Fax Number :
Provider Business Practice Location Address
First Line : 615 5TH ST STE 300
Second Line :
City : BROOKINGS
State : OR
Zip : 97415-9199
Country : US
Telephone Number : 877-408-8941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 10/05/2023

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Directions to “ KATIE A HOBBS LCSW,” Practice Location

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