Provider Demographics
NPI:1578353157
Name:WEBB, CORTNI (MSW)
Entity type:Individual
Prefix:
First Name:CORTNI
Middle Name:
Last Name:WEBB
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 1:3640 DAYDREAM PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-8237
Mailing Address - Country:US
Mailing Address - Phone:904-749-4808
Mailing Address - Fax:
Practice Address - Street 1:3640 DAYDREAM PL
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-8237
Practice Address - Country:US
Practice Address - Phone:904-749-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker