Individual provider Active NPI

Samantha Lynn Cohose, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1326515974
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20177 Issued in MD
Practice address
1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone
(410) 893-4600
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20177 MD Primary

Addresses

Primary practice location

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485

Mailing address

1201 Talbott SQ
Belcamp, MD 21017-1338
Phone (443) 299-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20181203002473 MD Practitioner - Clinical Social Worker 3971847922 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20177MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Clinical CurrentSince Nov 1, 2018 Accepting new patients
Safe Harbor Community Services CurrentSince Aug 1, 2022 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2502 S Tollgate Rd
Bel Air, MD 21015
Phone (410) 638-3920

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone (410) 561-9497

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

1705 Conowingo Rd
Bel Air, MD 21014
Phone (410) 941-0029

30 E Lee St
Bel Air, MD 21014

2100 Conowingo Rd
Bel Air, MD 21014
Phone (410) 638-4170

100 Osborne Pkwy
Forest Hill, MD 21050
Phone (410) 638-4262

Organizations & group practices 2

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1326515974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TALBOTT SQ",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171338",
            "telephone_number": "443-299-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD STE 300",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143485",
            "telephone_number": "410-893-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHOSE",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.