Individual provider Active NPI

Charles B Cobble, LCSW

  • Clinical Social Worker
  • Hermitage, TN
National Provider Identifier
1326478207
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6403 Issued in TN
Practice address
3908 Lebanon Pike Unit 851
Hermitage, TN 37076-2285
Phone
(629) 204-4588
NPI assigned
Nov 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6403 TN Primary

Addresses

Primary practice location

3908 Lebanon Pike Unit 851
Hermitage, TN 37076-2285

Mailing address

3908 Lebanon Pike Unit 851
Hermitage, TN 37076-2285
Phone (629) 204-4588

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1326478207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 LEBANON PIKE UNIT 851",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762285",
            "telephone_number": "629-204-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 LEBANON PIKE UNIT 851",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762285",
            "telephone_number": "629-204-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBLE",
        "first_name": "CHARLES",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.