Individual provider · NPI-1
Jessica Van Brunt Hobgood, LCSW-C
Social Worker, Clinical · Belcamp, MD
NPI number1356893762
StatusActive
Last updated in NPPESNov 2, 2016
Details
- NPI
- 1356893762
- Entity type
- Individual (NPI-1)
- Name
- Jessica Van Brunt Hobgood
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2016
- Last updated
- Nov 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20092 | MD | Yes |
Practice location
4320 Horner LnBelcamp, MD 21017-1339
Phone 443-994-7328
Mailing address
4320 Horner LnBelcamp, MD 21017-1339
Phone 443-994-7328
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