Active NPI
Nanette M. Hoback, LCSW
- Clinical Social Worker
- Manassas, VA
National Provider Identifier
1396939856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002586
- Legal business name
- NANETTE M. HOBACK, LCSW
- Practice address
- 7502 Diplomat Dr.
Suite 101
Manassas, VA 20109-2631 - Phone
- (703) 401-5875
- NPI assigned
- Aug 28, 2007
- Last updated
- Aug 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nanette Mary Hoback, LCSW
- Title
- Family Therapist
- Phone
- (703) 401-5875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002586 | VA | Primary |
Addresses
Primary practice location
7502 Diplomat Dr.
Suite 101
Manassas, VA 20109-2631
Mailing address
13808 Miken Court
Manassas, VA 20112-3743
National Provider Directory
National Provider DirectoryLocations
7502 Diplomat Dr
Ste 101
Manassas, VA 20109
Phone (703) 392-7944
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Manassas, VA
- NPI 1104023811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1396939856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13808 MIKEN COURT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7502 DIPLOMAT DR.",
"address_2": "SUITE 101",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092631",
"telephone_number": "703-401-5875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANETTE M. HOBACK, LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "HOBACK",
"authorized_official_first_name": "NANETTE",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "FAMILY THERAPIST",
"authorized_official_telephone_number": "703-401-5875",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.