| Hannah Cobb, Lcsw, Pllc | |
|
15310 N May Ave Edmond OK 73013-8864 | |
| (405) 650-7767 | |
| Not Available |
| Full Name | Hannah Cobb, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 15310 N May Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Hannah Cobb (OWNER/THERAPIST) |
| Authorized Official Contact | 4056507767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Cobb, Lcsw, Pllc 13510 Scenic Cir Edmond OK 73025-2696 Ph: () - | Hannah Cobb, Lcsw, Pllc 15310 N May Ave Edmond OK 73013-8864 Ph: (405) 650-7767 |
| NPI Number | 1114609336 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 4688038797 |
|---|---|
| Medicare Enrollment ID | O20230907003371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114609336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Hannah Shawndell Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508298548 PECOS PAC ID: 5597129601 Enrollment ID: I20230907003917 |
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