Active NPI
Carly M Cohen, LMSW
- Social Worker
- South Ozone Park, NY
National Provider Identifier
1487892055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 075400
- Practice address
- 10819 Rockaway Blvd
South Ozone Park, NY 11420-1034 - Phone
- (718) 845-2620
- Fax
- (718) 845-9380
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 075400 | NY | Primary |
Addresses
Primary practice location
10819 Rockaway Blvd
South Ozone Park, NY 11420-1034
Mailing address
108-19 Rockaway Blvd
Ozone Park, NY 11420
Phone (718) 845-2620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00075400 | Medicaid | NY |
Other names 1
- Carly M Pesce-Cohen
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 |
|---|---|---|---|
| 075400 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1487892055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108-19 ROCKAWAY BLVD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11420",
"telephone_number": "718-845-2620",
"fax_number": "718-845-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10819 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114201034",
"telephone_number": "718-845-2620",
"fax_number": "718-845-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "CARLY",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00075400",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "PESCE-COHEN",
"middle_name": "M",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.