Provider Demographics
NPI:1376098905
Name:DOTTIE HOBBS MSW LCSW PC
Entity Type:Organization
Organization Name:DOTTIE HOBBS MSW LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:ALLEY
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-444-4168
Mailing Address - Street 1:159 W SALISBURY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-4149
Mailing Address - Country:US
Mailing Address - Phone:919-444-4168
Mailing Address - Fax:
Practice Address - Street 1:200 TERRELLS TRCE
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-6067
Practice Address - Country:US
Practice Address - Phone:919-444-4168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0069251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty