Organization Active NPI

Cobb Counseling, LCSW, PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1316308679
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COBB COUNSELING, LCSW, PLLC
Practice address
450 7TH Ave Ste 809
New York, NY 10123-0805
Phone
(212) 575-2622
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Elizabeth Cobb, LCSWNPI 1164860722
Title
Sole Member
Phone
(212) 575-2622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

450 7TH Ave Ste 809
New York, NY 10123-0805

Mailing address

450 7TH Ave Ste 809
New York, NY 10123-0805
Phone (212) 575-2622

Other names 1

  • Cobb Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219002862 NY Part B Supplier - Clinic/Group Practice 7113408915 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1316308679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH AVE STE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230805",
            "telephone_number": "212-575-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH AVE STE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230805",
            "telephone_number": "212-575-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB COUNSELING, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "212-575-2622",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cobb Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.