Bethany Joy Cobbs
Individual provider Active NPI Clinical Social Worker · Hubert, NC
NPI 1659913069 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1659913069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P013999 (NC)
- Practice address
- 232 Smallwood Road
Hubert, NC 28539 - Phone
- (936) 222-0640
- NPI assigned
- Oct 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Psychological and Psychiatric Health SRVS PA
Practice addresses (Care Compare)
1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221108000792 | NC | Practitioner - Clinical Social Worker | 8820465693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25649 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| P013999 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Psychological and Psychiatric Health SRVS, PA | Clinical | Current |
Accepting new patients |
| Resolutions Counseling and Mediation Services, PLLC | Clinical | Past |
Accepting new patients |
Locations
1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | LCAS-25649 | NC | |
| Clinical Social Worker | 1041C0700X | P013999 | NC | Yes |
Addresses
Primary practice location
232 Smallwood Road
Hubert, NC 28539
Mailing address
232 Smallwood Road
Hubert, NC 28539
Phone (936) 222-0640
Other practice location 1
2801 Neuse Blvd
New Bern, NC 28562
Phone (910) 358-0449
Other providers in Hubert, NC
- Carobell, Inc.
- Carobell, Inc.
- Joseph Armand Clairmont Jr.
- Coastal Medical and Wellness PLLC
- Shirley Katherine Coates
- Courageous Counseling & Wellness, PLLC
- Jessica Cox
- Tammy L Crocker
- Kendrick Cua
- Eastern Therapeutic Services, Inc.
All providers in Hubert, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.