Individual provider Active NPI

Emma Stacy Cosby, LCSW, PIP

  • Clinical Social Worker
  • Andalusia, AL
National Provider Identifier
1760713119
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3184C Issued in AL
Practice address
109 Medical Park Dr Ste C
Andalusia, AL 36420-5364
Phone
(334) 222-1818
Fax
(334) 222-1919
NPI assigned
Jan 26, 2010
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 3184C AL Primary

Addresses

Primary practice location

109 Medical Park Dr Ste C
Andalusia, AL 36420-5364

Mailing address

109 Medical Park Dr Ste C
Andalusia, AL 36420-5364
Phone (334) 222-1818

Other identifiers 1

IdentifierTypeStateIssuer
1679807291OtherALCMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000101 AL Practitioner - Clinical Social Worker 5496879470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cosby and Cosby Counseling and Consultation LLCGroup PAC ID 4284859323, 7 clinicians

Practice addresses (Care Compare)

109 Medical Park Dr
Suite C
Andalusia, AL 36420-5364
Phone (334) 222-1818

1300 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 222-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3184CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cosby & Cosby Counseling & Consultation LLC Clinical CurrentSince Jul 7, 2014 Accepting new patients

Locations

109 Medical Park Dr
Ste C
Andalusia, AL 36420
Phone (334) 222-0019

205B Church St
Andalusia, AL 36420
Phone (334) 208-8710

20932 County Road 70
Andalusia, AL 36421
Phone (334) 224-7878

614 W Bypass
Andalusia, AL 36420
Phone (334) 222-0119

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1760713119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MEDICAL PARK DR STE C",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205364",
            "telephone_number": "334-222-1818",
            "fax_number": "334-222-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MEDICAL PARK DR STE C",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205364",
            "telephone_number": "334-222-1818",
            "fax_number": "334-222-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "EMMA",
        "middle_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3184C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1679807291",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.