Active NPI
James P Hobday Acsw Licsw
- Clinical Social Worker
- Eagan, MN
National Provider Identifier
1619197167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03939
- Legal business name
- JAMES P HOBDAY ACSW LICSW
- Practice address
- 4030 Pilot Knob Rd
Eagan, MN 55122-1814 - Phone
- (651) 452-1258
- NPI assigned
- Apr 26, 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
- James Hobday
- Title
- Clinical Social Worker
- Phone
- (651) 452-1258
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 | 03939 | MN | Primary |
Addresses
Primary practice location
4030 Pilot Knob Rd
Eagan, MN 55122-1814
Mailing address
PO Box 21451
Eagan, MN 55121-0451
Phone (651) 452-1258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504727700 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
4030 Pilot Knob Rd
Eagan, MN 55122
Phone (651) 452-1258
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Eagan, MN
- NPI 1982936761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1619197167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21451",
"city": "EAGAN",
"state": "MN",
"postal_code": "551210451",
"telephone_number": "651-452-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 PILOT KNOB RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221814",
"telephone_number": "651-452-1258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES P HOBDAY ACSW LICSW",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "HOBDAY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "651-452-1258"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "03939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504727700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.