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NPI Code Detail

MEDICARE: BETTY MARIE COBB LCSW

MEDICARE:   BETTY MARIE COBB  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 WorkerSW24526FL

General Provider Information

NPI Number : 1942886213
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY MARIE COBB LCSW
Provider Business Mailing Address
First Line : 1645 SUN CITY CENTER PLZ
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573
Country : US
Telephone Number : 910-527-5122
Fax Number :
Provider Business Practice Location Address
First Line : 4520 OAK FAIR BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33610-7356
Country : US
Telephone Number : 813-542-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2021
Last Update Date : 07/09/2025

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Directions to “ BETTY MARIE COBB LCSW” Practice Location

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