Individual provider Active NPI

Christy Hobgood

  • Clinical Social Worker
  • Jackson, CA
National Provider Identifier
1316482136
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
12140 New York Ranch Rd
Jackson, CA 95642-9407
Phone
(209) 257-2400
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C17771214 CA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12140 New York Ranch Rd
Jackson, CA 95642-9407

Mailing address

10877 Conductor Blvd
Sutter Creek, CA 95685-9687
Phone (209) 223-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210712002196 CA Practitioner - Clinical Social Worker 6103228242
I20241127004297 TX Practitioner - Clinical Social Worker 6103228242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
M a C T Health Board IncorporatedGroup PAC ID 8325936974, 21 clinicians

Practice addresses (Care Compare)

12140 New York Ranch Rd
Jackson, CA 95642-9407
Phone (209) 257-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C17771214CAMDAddiction (Substance Use Disorder) Counselor
121117CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christy.hobgoodacsw.p1@direct.macthealth.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1316482136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859687",
            "telephone_number": "209-223-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429407",
            "telephone_number": "209-257-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBGOOD",
        "first_name": "CHRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C17771214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.