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Connie Dean Hobson

Social Worker

Behavioral Health & Social Service Providers

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

PECOS Enrollment

This provider is enrolled in PECOS as CONNIE HOBSON.

Based on the most recent information from CMS, provider Connie Dean Hobson is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972763365
Provider Type
Individual
Full Name
Hobson, Connie Dean
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/10/2008
Last Updated
10/8/2012

Contact Information

Practice Location

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

(408) 899-7145

(408) 280-1026

Mailing Location

195 E San Fernando St, San Jose, CA 95112-3503

(408) 899-7145

(408) 280-1026

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 41320	Description Medicaid	Issuer Unlisted California

Connie Dean Hobson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Noorbakhsh, Souzan

Arellano, Evelan

Powell, Lauren

Nemiroff, Nicole

Chan, Janette

Esquivel, Julio Cesar

Miller, Darlene Marie

Simental, Rosa M

Monje, Noe

Mackey, Elijah Aaron