Andrew Gottlieb-Cohen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10715 Issued in CT

Practice address

40 Temple St Ste 7C
New Haven, CT 06510-2715

Phone

(203) 785-2513

NPI assigned

Oct 14, 2015

Last updated

Aug 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrew Cohen Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yale University

  dba Yale Medicine

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Gottlieb-Cohen Psychotherapy LLC

  • Community/Behavioral Health Agency
  • Woodbridge, CT
  • NPI 1841907326
  NPD Authorized official
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1457722621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 LAUREL ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081627",
            "telephone_number": "781-864-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TEMPLE ST STE 7C",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102715",
            "telephone_number": "203-785-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB-COHEN",
        "first_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "COHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Anna Gosselin
• Ceilia Gote, APRN, NP
• Michael Gotlib, M.A.
• Andrew Gotlin, M.D
• Julia C. Gotthardt, PA-C
• Carlos Rodrigo Goulart, MD
• Bonnie Elyssa Gould Rothberg, MD PHD MPH
• Michael E Gould, PA
• Michael Goulet, PT
• Maranda Gourley, MPH, MSN, PNP-PC

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.