Organization Active NPI

Nancy Matter Cobb, LCSW, Inc

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1811059090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18-CLINICAL Issued in OK
Legal business name
NANCY MATTER COBB, LCSW, INC
Practice address
717 NW 56TH St
Oklahoma City, OK 73118-6030
Phone
(405) 415-2305
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Matter Cobb, LCSW
Title
President
Phone
(405) 415-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 18-CLINICAL OK Primary

Addresses

Primary practice location

717 NW 56TH St
Oklahoma City, OK 73118-6030

Mailing address

717 NW 56TH St
Oklahoma City, OK 73118-6030
Phone (405) 415-2305

Other identifiers 1

IdentifierTypeStateIssuer
443369421001OtherOKBCBS OF OKLAHOMA

National Provider Directory

National Provider Directory

Locations

5500 N Western Ave
Ste 244
Oklahoma City, OK 73118
Phone (405) 415-2303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811059090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186030",
            "telephone_number": "405-415-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186030",
            "telephone_number": "405-415-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MATTER COBB, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MATTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-415-2305",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "18-CLINICAL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "443369421001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.