# CASSADY D COBB LCSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457878589
- **Authorized official:** CASSADY COBB LCSW (OWNER)
- **Authorized official phone:** (270) 234-6695

## Contact information

- **Practice address:** 970 BLOOMFIELD RD, BARDSTOWN, KY 40004-9708
- **Practice address phone:** (270) 234-6695
- **Mailing address:** PO BOX 1429, BARDSTOWN, KY 40004-4429
- **Mailing address phone:** (502) 331-6296
- **Mailing address fax:** (502) 331-6062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 05/07/2019