Susan Cohn, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 5376 Issued in CA

Practice address

21710 Stevens Creek Blvd
Suite 101
Cupertino, CA 95014-1172

Phone

(408) 257-5772

Fax

(888) 875-1557

NPI assigned

Oct 18, 2005

Last updated

Oct 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1023007572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD",
            "address_2": "SUITE 101",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141172",
            "telephone_number": "408-257-5772",
            "fax_number": "888-875-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD",
            "address_2": "SUITE 101",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141172",
            "telephone_number": "408-257-5772",
            "fax_number": "888-875-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 5376",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT  8177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jed M Cohen, MFT
• Timothy Coldiron, LMFT
• Rochelle Collinwood, ATC
• Charron Conley
• Rhonda Conner, P.T.
• David T Constant, DDS

• Clinical Social Worker in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.