Jeanette Cobb, ACSW,LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MO SW 000430 Issued in MO

Practice address

4770 N Belleview Ave
Suite 207
Kansas City, MO 64116-2188

Phone

(913) 338-0400

Fax

(816) 459-7885

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas City Psychiatric Group

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1023044641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215003298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N BELLEVIEW AVE",
            "address_2": "SUITE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162188",
            "telephone_number": "913-338-0400",
            "fax_number": "816-459-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N BELLEVIEW AVE",
            "address_2": "SUITE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162188",
            "telephone_number": "913-338-0400",
            "fax_number": "816-459-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JEANETTE",
        "credential": "ACSW,LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "MO SW 000430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "27179029",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Coates
• Nancy Rae Coates, M.D.
• Coatney Clinic, Inc (Myral Coatney, D.O., P.C.)
• Andrea Coats, CRNA
• Charles Madison Cobb, D.D.S.
• Jodi Fran Cobb, L.P.C.
• Lucy Diane Cobb, D.C.
• Kathe Denise Cobian, PLPC
• Nathaniel Shane Coburn, PT, DPT
• Angela Cochneuer, MA

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.