<unavail> in South Bend, IN - Medicare Social Worker

is a medicare enrolled mental health clinic (Social Worker - Clinical) in South Bend, Indiana. The current practice location for is 52582 State Road 933, South Bend, Indiana. For appointments, you can reach them via phone at (256) 276-7000. The mailing address for is 52582 State Road 933, South Bend, Indiana and phone number is (256) 276-7000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104660737. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (256) 276-7000.

Contact Information


	52582 State Road 933 South Bend IN 46637-3239
	(256) 276-7000
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Social Worker
Location	52582 State Road 933, South Bend, Indiana
Authorized Official Name and Position	Elizabeth Cobb (OWNER)
Authorized Official Contact	2562767000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
52582 State Road 933 South Bend IN 46637-3239 Ph: (256) 276-7000	52582 State Road 933 South Bend IN 46637-3239 Ph: (256) 276-7000

NPI Details:

NPI Number	1104660737
Provider Enumeration Date	06/19/2024
Last Update Date	07/29/2024
Certification Date	07/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6507390820
Medicare Enrollment ID	O20241108003604

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104660737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Elizabeth Cobb
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1861151896 PECOS PAC ID: 2567857550 Enrollment ID: I20220309001125

Reviews and Comments

Social Worker in South Bend, IN

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- Medicare Mental Health Clinic in South Bend, IN