Individual provider Active NPI

Constance Cosby, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1639865942
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023538 Issued in PA
Practice address
2424 E York St Ste 301a
Philadelphia, PA 19125-3049
Phone
(215) 469-1668
NPI assigned
Apr 11, 2023
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023538 PA Primary

Addresses

Primary practice location

2424 E York St Ste 301a
Philadelphia, PA 19125-3049

Mailing address

2424 E York St Ste 301a
Philadelphia, PA 19125-3049
Phone (215) 469-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023538PAMDClinical Social Worker
22685MDMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Essence Therapeutic Services, LLC Clinical CurrentSince Nov 19, 2023 Accepting new patients

Locations

2424 E York St
Ste 301A
Philadelphia, PA 19125
Phone (215) 469-1668

2722 N Hancock St
Unit 304
Philadelphia, PA 19133
Phone (215) 469-1668

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1639865942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E YORK ST STE 301A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253049",
            "telephone_number": "215-469-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E YORK ST STE 301A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253049",
            "telephone_number": "215-469-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "CONSTANCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.