Provider Demographics
NPI:1053595140
Name:HOBBS, GENIE (LCSW)
Entity type:Individual
Prefix:
First Name:GENIE
Middle Name:
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 OLD SANTA FE TRAIL, STE 1
Mailing Address - Street 2:#314
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1307
Mailing Address - Country:US
Mailing Address - Phone:720-255-4542
Mailing Address - Fax:
Practice Address - Street 1:316 ARTIST RD
Practice Address - Street 2:#314
Practice Address - City:SANTE FE
Practice Address - State:NM
Practice Address - Zip Code:87501-8750
Practice Address - Country:US
Practice Address - Phone:720-255-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8441041C0700X
NM2023-02811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical