Provider Demographics
NPI:1417213307
Name:HOSKINS, BETTY GAIL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:GAIL
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 852
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-0852
Mailing Address - Country:US
Mailing Address - Phone:209-233-1506
Mailing Address - Fax:
Practice Address - Street 1:480 E 13TH ST BLDG 2
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-6214
Practice Address - Country:US
Practice Address - Phone:209-381-6800
Practice Address - Fax:209-725-3883
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 26208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health