Healthcare Provider Details

I. General information

NPI: 1699043877
Provider Name (Legal Business Name): ALMA KOBACIC LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 FARRWOOD AVE APT 10
NORTH ANDOVER MA
01845-4433
US

IV. Provider business mailing address

61 FARRWOOD AVE APT 10
NORTH ANDOVER MA
01845-4433
US

V. Phone/Fax

Practice location:
  • Phone: 978-204-0935
  • Fax:
Mailing address:
  • Phone: 978-204-0935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLICSW1121064
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: