Doctor Name: | NICHOLE M COBB |
NPI Number: | 1043512098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S, OCPS II |
License Number: | |
Business Practice Address: | 2121 S Green Rd Suite 213 South Euclid, OH - 441213338 |
Business Phone Number: | 4403649171 |
Business Fax Number: | 4405421127 |
Mailing Address: | 2121 S Green Rd, Suite 213 SOUTH EUCLID |
State: | OH |
Postal Code: | 441213338 |
Phone Number: | 4403649171 |
Fax Number: | 4405421127 |
NPI Enumeration Date: | 11/24/2010 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |