Active NPI
Madelyn Petrow-Cohen, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1336399617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 047168-1
- Practice address
- 15 Sheridan SQ FRNT a
#5
New York, NY 10014-6847 - Phone
- (212) 627-8538
- Fax
- (212) 627-8535
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 047168-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 44SC05346800 | NJ |
Addresses
Primary practice location
15 Sheridan SQ FRNT a
#5
New York, NY 10014-6847
Mailing address
15 Sheridan SQ FRNT a
#5
New York, NY 10014-6847
Phone (212) 627-8538
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7268699 | Other | NJ | AETNA |
| 7268699 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05346800 | NJ | MD | Clinical Social Worker |
| 047168-1 | NY | MD | Clinical Social Worker |
| 047168 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1336399617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SHERIDAN SQ FRNT A",
"address_2": "#5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100146847",
"telephone_number": "212-627-8538",
"fax_number": "212-627-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SHERIDAN SQ FRNT A",
"address_2": "#5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100146847",
"telephone_number": "212-627-8538",
"fax_number": "212-627-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROW-COHEN",
"first_name": "MADELYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "047168-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05346800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7268699",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7268699",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.