Sophia Theresa Cobham, RN
Individual provider Active NPI Case Manager/Care Coordinator · Hartford, CT
NPI 1770097198 · NPPES record last updated Nov 21, 2017
Key facts
- NPI
- 1770097198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 077338 (MA)
- Practice address
- 999 Asylum Ave
Hartford, CT 06105-2416 - Phone
- (860) 793-3500
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077338 | MA | MD | Case Manager/Care Coordinator |
Interoperability endpoints
- sophia.cobham.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 077338 | MA | Yes |
Addresses
Primary practice location
999 Asylum Ave
Hartford, CT 06105-2416
Mailing address
1600 Chapel St FL 1
New Haven, CT 06511-4205
Phone (203) 444-1371
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- Evadne C Coache
- Katie Coble
- Kady J Cockburn
- Megan M Coco
- Vincent Thomas Codispoti
- Jillian Coffey
All providers in Hartford, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2017. 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.