Individual provider Active NPI

Isaac Yitzhak Cohen, LCSW, DSW

  • Clinical Social Worker
  • Woodmere, NY
National Provider Identifier
1205084142
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
056448 Issued in NY
Practice address
983 Dartmouth LN
Woodmere, NY 11598-1009
Phone
(718) 536-5417
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 056448 NY Primary
Clinical Social Worker 1041C0700X SW11991 FL

Addresses

Primary practice location

983 Dartmouth LN
Woodmere, NY 11598-1009

Mailing address

983 Dartmouth LN
Woodmere, NY 11598-1009
Phone (718) 536-5417

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
I20041027000424 NY Practitioner - Clinical Social Worker 8820050461 Practice locations: Woodmere, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

983 Dartmouth LN
Woodmere, NY 11598-1009
Phone (718) 536-5417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SW11991FLMDClinical Social Worker
056448NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Community Service Network, Inc. PastSince Aug 22, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1205084142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 DARTMOUTH LN",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981009",
            "telephone_number": "718-536-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 DARTMOUTH LN",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981009",
            "telephone_number": "718-536-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ISAAC",
        "middle_name": "YITZHAK",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056448",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.