Individual
WILLIAM C HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
909 E RESERVE ST, BOISE, ID 83712-6508
(208) 343-7717
Mailing address
4860 ROBB ST, SUITE 201, WHEAT RIDGE, CO 80033-2184
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1272
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12567375
CAQH PIN
ID
05
—
805622500
—
ID
01
—
LCSW-1272
PROFESSIONAL LICENSE
ID
01
—
P00009424
RAILROAD
ID
Enumeration date
07/25/2006
Last updated
10/08/2013
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