Individual provider · Type 1 NPI

Kenneth Vance Cobb Jr., LMSW

Clinical Social Worker · Detroit, MI

NPI number 1376815480 Active

Practice location

1600 Porter St
Detroit, MI 48216-1936

Mailing address

22336 Military St
Dearborn, MI 48124-2717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089147 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376815480

Kenneth Vance Cobb Jr., LMSW's National Provider Identifier is 1376815480, issued on Feb 4, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Feb 4, 2012.