Coreen Bohl, MSW, LCSW, ACHP-SW
Individual provider Active NPI Clinical Social Worker · Potsdam, NY
NPI 1033645593 · NPPES record last updated May 3, 2017
Key facts
- NPI
- 1033645593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 078450 (NY)
- Practice address
- 50 Leroy St
Potsdam, NY 13676-1786 - Phone
- (315) 265-3300
- Fax
- (315) 261-6025
- NPI assigned
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 078450 | NY | Yes |
Addresses
Primary practice location
50 Leroy St
Potsdam, NY 13676-1786
Mailing address
50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
Other providers in Potsdam, NY
- Jaime Byington Bicknell
- Esther Blanks
- Noel Lawton Bloomfield II
- Bodyworks Chiropractic
- Jean Quinn Bogart
- Bridget Bond
- Gwen Lindsey Bonner
- Megan Lyn Boyea
- Emma Brackett
- Brent S. Knight - Knight & Associates Physical Therapy
All providers in Potsdam, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.