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NPI Code Detail

MEDICARE: MS. JAMICA COBBS MSW, LCSW

MEDICARE: MS. JAMICA COBBS MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC013373NC
21041C0700XClinical Social Worker6801108419MI

General Provider Information

NPI Number : 1861883555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMICA COBBS MSW, LCSW
Provider Business Mailing Address
First Line : 301 MCCULLOUGH DR STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-1336
Country : US
Telephone Number : 980-288-8727
Fax Number :
Provider Business Practice Location Address
First Line : 301 MCCULLOUGH DR STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-1336
Country : US
Telephone Number : 980-288-8727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2015
Last Update Date : 12/09/2025

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