Provider Demographics
NPI:1811142631
Name:COTTER, ABBE CHERYL (MSW)
Entity type:Individual
Prefix:MRS
First Name:ABBE
Middle Name:CHERYL
Last Name:COTTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N REO ST STE 240
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1062
Mailing Address - Country:US
Mailing Address - Phone:813-435-3060
Mailing Address - Fax:
Practice Address - Street 1:550 N REO ST STE 240
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1062
Practice Address - Country:US
Practice Address - Phone:813-435-3060
Practice Address - Fax:813-435-2345
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO45952-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker