Denise M Cobbs
Individual provider Active NPI Social Worker · Baraboo, WI
NPI 1710215348 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1710215348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1995-120 (WI)
- Practice address
- 505 Broadway St
Baraboo, WI 53913-2183 - Phone
- (608) 524-7910
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1995-120 | WI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1995-120 | WI | Yes |
Addresses
Primary practice location
505 Broadway St
Baraboo, WI 53913-2183
Mailing address
N7670 17TH Ave
New Lisbon, WI 53950-9695
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. 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.