Healthcare Provider Details

I. General information

NPI: 1659639334
Provider Name (Legal Business Name): RACHAEL M COBB LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2012
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 DEVLAC GRV
BOWLING GREEN OH
43402-4501
US

IV. Provider business mailing address

3909 WOODLEY RD
TOLEDO OH
43606-1169
US

V. Phone/Fax

Practice location:
  • Phone: 419-352-6460
  • Fax:
Mailing address:
  • Phone: 419-725-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.0600038
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: