National Provider Identifier

Brian Wilbur Cobb, LCSW

Brian Wilbur Cobb, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.

NPI 1427318138Ithaca, NYClinical Social Worker

Profile Overview

NPI
1427318138
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 29, 2012
Last Updated
May 07, 2019

Practice Location

  • Family & Children'S Service Of Ithaca
  • 127 W. State St. Floor 1
  • Ithaca, NY 14850-5474

Phone: (607) 273-7494

Mailing Address

  • 628 Mary St
  • Utica, NY 13501-2419

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1427318138
Entity Type
Individual
Last Name
Cobb
First Name
Brian
Middle Name
Wilbur
Name Prefix
Mr.
Credential
LCSW
Mailing Street Address
628 Mary St
Mailing City
Utica
Mailing State
NY
Mailing ZIP Code
13501-2419
Mailing Country
US
Practice Street Address
Family & Children'S Service Of Ithaca
Practice Address Line 2
127 W. State St. Floor 1
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5474
Practice Country
US
Practice Phone
(607) 273-7494
Practice Fax
(607) 273-7484
Enumeration Date
May 29, 2012
Last Updated
May 07, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)