Adam Cohen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11293 Issued in FL

Practice address

540 Kangley Ave
Deltona, FL 32738-9291

Phone

(321) 266-8603

NPI assigned

Apr 23, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bay Area Youth Services

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1356738603

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467849877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 KANGLEY AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389291",
            "telephone_number": "321-266-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 KANGLEY AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389291",
            "telephone_number": "321-266-8603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4336 Ilene Ct",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328066173",
            "country_code": "US",
            "telephone_number": "321-266-8603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ADAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Clemente
• Jonathan Allen Cloud, CCRN RN
• Coast Florida P.a.
• Courtny J. Coerver
• Miriamy Cofino, FNP-C
• Christiana Christiana Coker
• Tamika Cole
• Donna Lynn Coleman, LMT
• Sean Colman, PTA
• Comfortable Care Dental Health Professionals, PA

• Clinical Social Worker in Deltona, FL
• Providers in Deltona, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.