Christie Rwakayija Cobbson, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801098955 Issued in MI

Practice address

805 Leonard St. NE
Grand Rapids, MI 49503

Phone

(616) 451-2021

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Christie Nathalie Rwakayija-Raymond Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D a Blodgett-St Johns

  dba D.A. Blodgett For Children

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1801929435
  NPD (past)
• D.a. Blodgett - St. John's

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1861701229
  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1598284184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SUMMER CIR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487024",
            "telephone_number": "616-204-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LEONARD ST. NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-451-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBSON",
        "first_name": "CHRISTIE",
        "middle_name": "RWAKAYIJA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "6801098955",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "920578776",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "RWAKAYIJA-RAYMOND",
            "middle_name": "NATHALIE",
            "credential": "LLMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessie Coats Jr.
• Alexander Wayne Cobb, DO
• Emily Cobb
• Monica Cobbs
• Verluria Julini Simone Cobbs
• Kendra Rose Coburn, CPHT
• Anne Cochran, PA
• Jaclyn R Cochrane, PA-C
• John Tyler Cochrane, DO
• Shayne Cochrane

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.