Individual provider Active NPI

Connie Dean Hobson

  • Social Worker
  • San Jose, CA
National Provider Identifier
1972763365
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
195 E. San Fernando Street
San Jose, CA 95112-3503
Phone
(408) 899-7145
Fax
(408) 280-1026
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

195 E. San Fernando Street
San Jose, CA 95112-3503

Mailing address

195 E San Fernando St
San Jose, CA 95112-3503
Phone (408) 899-7145

Other identifiers 1

IdentifierTypeStateIssuer
41320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180104001749 CA Practitioner - Clinical Social Worker 1850650466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities of Santa Clara CountyGroup PAC ID 3274525431, 4 clinicians

Practice addresses (Care Compare)

2625 Zanker Rd
Suite 200
San Jose, CA 95134-2130
Phone (408) 396-7969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72954CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Santa Clara County CurrentSince Nov 18, 2017 Accepting new patients
Catholic Charities of Santa Clara County CurrentSince Nov 18, 2017 Accepting new patients

Locations

2625 Zanker Rd
San Jose, CA 95134
Phone (408) 325-5120

2625 Zanker Rd
Ste 200
San Jose, CA 95134
Phone (408) 396-7969

Organizations & group practices 2

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1972763365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E SAN FERNANDO ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123503",
            "telephone_number": "408-899-7145",
            "fax_number": "408-280-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E. SAN FERNANDO STREET",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123503",
            "telephone_number": "408-899-7145",
            "fax_number": "408-280-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBSON",
        "first_name": "CONNIE",
        "middle_name": "DEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.