Kimberly Cobb, LSW
Individual provider Active NPI Social Worker · Old Washingtion, OH
NPI 1598249237 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1598249237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.2309036 (OH)
- Practice address
- 239A Old National Rd
Old Washingtion, OH 43768-0094 - Phone
- (740) 489-5571
- Fax
- (740) 489-5004
- NPI assigned
- Sep 19, 2018
- 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 |
|---|---|---|---|
| S.2309036 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Ohio Counseling Center, LLC. | Past |
Accepting new patients | |
| Southeastern Ohio Counseling Center, LLC. | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/southeasternohiocounseling/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2309036 | OH | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
239A Old National Rd
Old Washingtion, OH 43768-0094
Mailing address
PO Box 94
Old Washington, OH 43768-0094
Phone (740) 489-5571
Other providers in Old Washingtion, OH
All providers in Old Washingtion, OH · Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 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.