Susan Cobb, L.C.S.W – Mental Health Counselor

Key facts

NPI: 1295795441
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: SW5181 (FL)
Practice address: 1110 E Gibson St
Arcadia, FL 34266-5011
Phone: (863) 494-6222
Fax: (863) 494-3227
NPI assigned: Mar 23, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Ultima Rehab-FL LLC Geriatric Physical Therapist · North Fort Myers, FL · NPI 1053970194

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Ultima Rehab-FL LLC		Current since Dec 4, 2019	Accepting new patients

Locations

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	SW5181	FL	Yes

Addresses

Primary practice location

1110 E Gibson St
Arcadia, FL 34266-5011

Mailing address

1110 E Gibson St
Arcadia, FL 34266-5011
Phone (863) 494-6222

Other identifiers

Identifier	Type	State	Issuer
Z9775	Other	FL	BCBS

Other providers in Arcadia, FL

Sohaan A Chichester-Shepperd, PA
Terry L Chouinard, ARNP
Dennis Paul Cirillo, M.D.
Vanessa Cisneros
Coast to Coast MHS, LLC
Martha M Coetzee, MD
Elizabeth Patricia Collins, RN
Communication and Rehabilitation Station LLC
Janile Contreras, LCSW
Patricia Susan Cook, DMD

All providers in Arcadia, FL · Mental Health Counselor in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.