Individual provider Active NPI

Cynthia D Cohen, LCSW-R

  • Clinical Social Worker
  • Niskayuna, NY
National Provider Identifier
1013411461
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027798-1 Issued in NY
Practice address
1786 Union St
Niskayuna, NY 12309-6901
Phone
(518) 346-6935
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R027798-1 NY Primary

Addresses

Primary practice location

1786 Union St
Niskayuna, NY 12309-6901

Mailing address

2001 McClellan St
Schenectady, NY 12309-5137
Phone (518) 357-8048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425001966 NY Practitioner - Clinical Social Worker 0345504452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027798-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Mar 11, 2018 Accepting new patients
Senior Living Behavioral Health, PLLC Clinical Past Accepting new patients

Locations

4071 Hardt Rd
Eden, NY 14057
Phone (716) 992-4466

747 3rd Ave
Fl 2
New York, NY 10017
Phone (516) 387-2375

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Behavioral Health LCSW PLLC 17 clinicians

Practice addresses (Care Compare)

1786 Union St
Niskayuna, NY 12309-6901
Phone (518) 346-6935

300 Mill Rose CT
Slingerlands, NY 12159-3024
Phone (518) 218-0506

4071 Hardt Rd
Eden, NY 14057-9650
Phone (716) 992-4466

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1013411461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MCCLELLAN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123095137",
            "telephone_number": "518-357-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 UNION ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096901",
            "telephone_number": "518-346-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027798-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

Verify at the official NPI Registry.