Provider Demographics
NPI:1316036379
Name:HOBSON, JAMES T (LMSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:HOBSON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CARDENAS DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1709
Mailing Address - Country:US
Mailing Address - Phone:505-254-9428
Mailing Address - Fax:505-254-8769
Practice Address - Street 1:209 CARDENAS DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1709
Practice Address - Country:US
Practice Address - Phone:505-254-9428
Practice Address - Fax:505-254-8769
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-05696104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker