Brian Cohen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110821 Issued in MA

Practice address

21 Main St
Ste. 4a
Hudson, MA 01749-2164

Phone

(978) 212-5769

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

Yes

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.

• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2014.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1295930675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "STE. 4A",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492164",
            "telephone_number": "978-212-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "STE. 4A",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492164",
            "telephone_number": "978-212-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BRIAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS",
            "identifier": "110821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Chieffo
• Sara Chieffo, BCBA
• Mercy Tafadzwa Chipumuro, REGISTERED NURSE
• Clearsight Eye Care, Inc.
• Lauren Martins Coffin, FNP-BC
• Katelyn Laurel Colburn
• Tracy Colby, OTR/L
• Margaret M Cole
• Melissa Conaghan
• Amy Connors

• All providers in Hudson, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.