Roberta J Cotham, MSW
Individual provider Active NPI Clinical Social Worker · Lexington, TN
NPI 1447088042 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1447088042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CG60808459 (WA)
- Practice address
- 300 Holmes St
Lexington, TN 38351 - Phone
- (731) 614-4614
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| CG60808459 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Therapy Services | Current | Accepting new patients | |
| Compass Therapy Services | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CG60808459 | WA | Yes |
Addresses
Primary practice location
300 Holmes St
Lexington, TN 38351
Mailing address
300 Holmes St
Lexington, TN 38351
Phone (731) 614-4614
Other providers in Lexington, TN
- John D Collier
- Complete Family Eyecare, Inc.
- Jessica Samford Conley
- Jared Lawrence Cooper
- Cornerstone Health Systems, LLC
- Charlotte Louise Couch
- Teresa Lynn Cox
- Jillian C Davis
- Pansy Hayes Davis
- Shannon Leanne Davis
All providers in Lexington, TN · Clinical 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 Jul 24, 2024. 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.