Provider Demographics
NPI:1023322252
Name:HOBBINS, CORALEE M (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:CORALEE
Middle Name:M
Last Name:HOBBINS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:PROF
Other - First Name:COREY
Other - Middle Name:M
Other - Last Name:HOBBINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:1102 HOYT AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-2226
Mailing Address - Country:US
Mailing Address - Phone:651-488-0835
Mailing Address - Fax:
Practice Address - Street 1:45 10TH ST W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1062
Practice Address - Country:US
Practice Address - Phone:651-232-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical