Desiree Hobson

Individual provider Active NPI Clinical Social Worker · Duvall, WA

NPI 1144974189 · NPPES record last updated Feb 8, 2022

Key facts

NPI
1144974189
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW60559108 (WA)
Practice address
32734 NE 195TH St
Duvall, WA 98019-9734
Phone
(907) 854-2042
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LW60559108WAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60559108 WA Yes

Addresses

Primary practice location

32734 NE 195TH St
Duvall, WA 98019-9734

Mailing address

32734 NE 195TH St
Duvall, WA 98019-9734
Phone (907) 854-2042

Other providers in Duvall, WA

All providers in Duvall, WA · Clinical Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.