Provider Demographics
NPI:1992476956
Name:HOBBS, KATE ALLISON (LISW)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ALLISON
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 N FAIRFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-2783
Mailing Address - Country:US
Mailing Address - Phone:937-558-3900
Mailing Address - Fax:
Practice Address - Street 1:1055 E CENTERVILLE STATION RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-5500
Practice Address - Country:US
Practice Address - Phone:937-439-2984
Practice Address - Fax:937-439-2984
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.21030221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical