Individual provider Active NPI

Laura Nell Cobb, LCSW

  • Clinical Social Worker
  • Corpus Christi, TX
National Provider Identifier
1699762401
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-05320 Issued in NM
Practice address
11521 Saspamco Creek Dr
Corpus Christi, TX 78410-3214
Phone
(505) 720-9050
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 C-05320 NM Primary

Addresses

Primary practice location

11521 Saspamco Creek Dr
Corpus Christi, TX 78410-3214

Mailing address

11521 Saspamco Creek Dr
Corpus Christi, TX 78410-3214
Phone (505) 720-9050

Other practice location 1

52 Mdos
Apo, AE 09123
DE
Phone (004) 965-6561 ext. 8279

Other identifiers 1

IdentifierTypeStateIssuer
I-05320OtherNML.I.S.W.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-05320NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1699762401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11521 SASPAMCO CREEK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784103214",
            "telephone_number": "505-720-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11521 SASPAMCO CREEK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784103214",
            "telephone_number": "505-720-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 MDOS",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09123",
            "country_code": "DE",
            "telephone_number": "004-965-6561 x8279",
            "fax_number": "8280",
            "country_name": "Germany",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "LAURA",
        "middle_name": "NELL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-05320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.I.S.W.",
            "identifier": "I-05320",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.