Provider Demographics
NPI:1881813046
Name:HOBSON, SHARON GACHO (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:GACHO
Last Name:HOBSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:G
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:18906 HORSEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3603
Mailing Address - Country:US
Mailing Address - Phone:240-350-9777
Mailing Address - Fax:301-579-6624
Practice Address - Street 1:4451 PARLIAMENT PL STE A
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1868
Practice Address - Country:US
Practice Address - Phone:240-350-9777
Practice Address - Fax:301-579-6624
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD002812600Medicaid