Nickie Lynn Cosgrove, LMSW
Individual provider Active NPI Social Worker · Mountain Home, TN
NPI 1356589667 · NPPES record last updated Jan 23, 2009
Key facts
- NPI
- 1356589667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7581 (TN)
- Practice address
- 160 Dogwood Lane
Mountain Home, TN 37684 - Phone
- (423) 926-1171
- Fax
- (423) 979-2645
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7581 | TN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7581 | TN | Yes |
Addresses
Primary practice location
160 Dogwood Lane
Mountain Home, TN 37684
Mailing address
PO Box 4000
Mountain Home, TN 37684-4000
Phone (423) 926-1171
Other providers in Mountain Home, TN
- Chelsey Collea
- Jonathan Bruce Colson
- Kevin Charles Conley
- Nya Paige Conley
- Cindy Conway
- Margaret Cothern
- Danny Lee Cox
- Christina Ann Craft
- Callie Crockett
- Sydney Myles Crockrell
All providers in Mountain Home, TN · Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2009. 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.