Individual provider Active NPI

Elizabeth Cobb, MSW LCSW

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1861151896
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009271A Issued in IN
Practice address
300 S Saint Louis Blvd Ste 102
South Bend, IN 46617-3028
Phone
(574) 564-5274
Fax
(574) 406-7525
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 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 34009271A IN Primary

Addresses

Primary practice location

300 S Saint Louis Blvd Ste 102
South Bend, IN 46617-3028

Mailing address

PO Box 1231
South Bend, IN 46624-1231
Phone (574) 564-5274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220309001125 IN Practitioner - Clinical Social Worker 2567857550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

52582 State Rd
Suite 933
South Bend, IN 46637-3239
Phone (574) 564-5274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009271AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cobblestone Therapy Clinical CurrentSince Jul 15, 2022 Accepting new patients
Psych Pointe LLC CurrentSince Mar 1, 2022 Accepting new patients
Lincoln Counseling, PC Clinical PastSince Mar 30, 2022 Accepting new patients

Locations

113 Lincolnway E
Mishawaka, IN 46544
Phone (574) 255-4976

1001 N Hickory Rd
Ste 3
South Bend, IN 46615
Phone (574) 232-3100

52582 State Road 933
South Bend, IN 46637
Phone (256) 276-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1861151896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466241231",
            "telephone_number": "574-564-5274",
            "fax_number": "574-406-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SAINT LOUIS BLVD STE 102",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173028",
            "telephone_number": "574-564-5274",
            "fax_number": "574-406-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ELIZABETH",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009271A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.