Individual provider Active NPI

Daniel Aaron Cohen, LCSW,MSW,MDIV,MSJ,BA

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1366563108
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007228 Issued in CT
Practice address
15 Church St
Hamden, CT 06514-3435
Phone
(203) 671-8737
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 007228 CT Primary

Addresses

Primary practice location

15 Church St
Hamden, CT 06514-3435

Mailing address

98 Sanquist Circle
98 Sandquist Circle
Hamden, CT 06514
Phone (203) 671-8737

Other practice location 1

203 High St
Milford, CT 06460-3250
Phone (203) 874-6270

Other identifiers 2

IdentifierTypeStateIssuer
13802851OtherCTCAQH
008037039MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20081203000393 CT Practitioner - Clinical Social Worker 6709947260 Practice locations: Hamden, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Church St
Hamden, CT 06514-3435
Phone (203) 671-8737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
007228CTMDClinical Social Worker
7228CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut PastSince Jul 16, 1998 Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford PastSince Oct 1, 2015 Accepting new patients
State of Connecticut Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 3

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366563108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SANQUIST CIRCLE",
            "address_2": "98 SANDQUIST CIRCLE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-671-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHURCH ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143435",
            "telephone_number": "203-671-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 High St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603250",
            "country_code": "US",
            "telephone_number": "203-874-6270",
            "fax_number": "203-874-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DANIEL",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LCSW,MSW,MDIV,MSJ,BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13802851",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008037039",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.