Provider Demographics
NPI:1700348505
Name:HOBLING, DEREK SAMPSON (LSCSW)
Entity Type:Individual
Prefix:MR
First Name:DEREK
Middle Name:SAMPSON
Last Name:HOBLING
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4030
Mailing Address - Country:US
Mailing Address - Phone:785-333-3793
Mailing Address - Fax:
Practice Address - Street 1:1445 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4030
Practice Address - Country:US
Practice Address - Phone:785-333-3793
Practice Address - Fax:785-390-8500
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS062001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical