Healthcare Provider Details

I. General information

NPI: 1972515393
Provider Name (Legal Business Name): SOLOMON HERBERT KOBES MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CONNER DR SUITE 203
CHAPEL HILL NC
27514-7038
US

IV. Provider business mailing address

205 DELLA ST
CHAPEL HILL NC
27516-6050
US

V. Phone/Fax

Practice location:
  • Phone: 910-240-5549
  • Fax: 919-443-1199
Mailing address:
  • Phone: 919-240-5548
  • Fax: 919-443-1199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004956
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: