Provider Demographics
NPI:1487123493
Name:HOBSON, CRAIG ALFRED (LCSW)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ALFRED
Last Name:HOBSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5141 DOBSON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-2824
Mailing Address - Country:US
Mailing Address - Phone:773-896-6631
Mailing Address - Fax:
Practice Address - Street 1:5141 DOBSON ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2824
Practice Address - Country:US
Practice Address - Phone:773-896-6631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-19
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490150051041C0700X
IL149.0150051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty