Provider Demographics
NPI:1679159628
Name:JACOBS-HOOVER, BOBBI ANN (LMSW, CADC)
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:ANN
Last Name:JACOBS-HOOVER
Suffix:
Gender:F
Credentials:LMSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PEE WEE CT
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-3772
Mailing Address - Country:US
Mailing Address - Phone:302-898-8054
Mailing Address - Fax:
Practice Address - Street 1:5171 W WOODMILL DR STE 9
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4067
Practice Address - Country:US
Practice Address - Phone:302-999-9812
Practice Address - Fax:302-999-9820
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-00105431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical