Johnnie Edwards Cobb, SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG101993 Issued in DC

Practice address

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024

Phone

(202) 889-7900

Fax

(202) 610-3095

NPI assigned

Jan 3, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1518737402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MORELAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163707",
            "telephone_number": "301-520-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-889-7900",
            "fax_number": "202-610-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JOHNNIE",
        "middle_name": "EDWARDS",
        "name_prefix": "Mr.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG101993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Coates, LPC
• Yndia Coates
• Sabrina Coaxum
• Alaysia Courtney Cobb
• Ashley Cobb
• Kim Harris Cobb, ED.D, LPC
• Nathan Knight Cobb, MD
• Pamela Penrose Cobb, M.D.
• Rochelle Aletia Cobb
• Shelley Christina Cobb, MD

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.