Provider Demographics
NPI:1699762401
Name:COBB, LAURA NELL (LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:NELL
Last Name:COBB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11521 SASPAMCO CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-3214
Mailing Address - Country:US
Mailing Address - Phone:505-720-9050
Mailing Address - Fax:
Practice Address - Street 1:11521 SASPAMCO CREEK DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-3214
Practice Address - Country:US
Practice Address - Phone:505-720-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-053201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMI-05320OtherL.I.S.W.