Ellia Cohen, LICSW
Individual provider Active NPI Clinical Social Worker · Berlin, VT
NPI 1124540075 · NPPES record last updated Jul 12, 2017
Key facts
- NPI
- 1124540075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0111626 (VT)
- Practice address
- 174 Hospital Loop
Berlin, VT 05602-9105 - Phone
- (802) 479-4083
- Fax
- (802) 476-1476
- NPI assigned
- Jul 12, 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 | 089.0111626 | VT | Yes |
Addresses
Primary practice location
174 Hospital Loop
Berlin, VT 05602-9105
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 479-4083
Other providers in Berlin, VT
- Andrew Grant Clammer
- Janna M. Clar
- Karlin Clark
- Nicole Clark
- Clearchoicemd, PLLC
- Michael S Cohn
- Collin Kwasnik, DDS, Inc.
- Matthew Alexander Collins
- Jessica Cotnoir
- Richard Andrews Crandall III
All providers in Berlin, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 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.