Healthcare Provider Details

I. General information

NPI: 1659209187
Provider Name (Legal Business Name): EMILY COBBEY LICENSED CLINICAL SOCIAL WORKER PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 OCEAN VIEW DR # 5
OAKLAND CA
94618-1532
US

IV. Provider business mailing address

2446 64TH AVE
OAKLAND CA
94605-1945
US

V. Phone/Fax

Practice location:
  • Phone: 503-860-3198
  • Fax:
Mailing address:
  • Phone: 503-860-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: EMILY COBBEY
Title or Position: OWNER
Credential: LCSW
Phone: 503-860-3198