Basic Information
Provider Information
NPI: 1114028867
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOBSON
FirstName: ROBERT
MiddleName: C
NamePrefix: MR.
NameSuffix:  
Credential: L.C.S.W.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 444
Address2:  
City: MURPHY
State: NC
PostalCode: 289060444
CountryCode: US
TelephoneNumber: 8288370071
FaxNumber: 8288375309
Practice Location
Address1: 91 TIMBERLANE RD
Address2:  
City: WAYNESVILLE
State: NC
PostalCode: 287867927
CountryCode: US
TelephoneNumber: 8284541098
FaxNumber: 8773461089
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 10/03/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XC004850NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

ID Information
IDTypeStateIssuerDescription
141U501NCBCBS NCOTHER
610631105NC MEDICAID


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