Active NPI
Michelle Anne Cohen, LCSW
- Social Worker
- Gloucester, MA
National Provider Identifier
1508515586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 225567
- Practice address
- 49 Blackburn Ctr
Gloucester, MA 01930-2271 - Phone
- (978) 281-1750
- NPI assigned
- Mar 18, 2022
- 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 | 225567 | MA | Primary |
Addresses
Primary practice location
49 Blackburn Ctr
Gloucester, MA 01930-2271
Mailing address
97 Leach St Apt 3
Salem, MA 01970-5556
Phone (978) 500-6677
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 |
|---|---|---|---|
| 225567 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seniorcare, Inc. | Current | Accepting new patients |
Locations
49 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 281-1750
Organizations & group practices 1
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.
-
- Adult Care Home Facility
- Gloucester, MA
- NPI 1437297041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1508515586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 LEACH ST APT 3",
"city": "SALEM",
"state": "MA",
"postal_code": "019705556",
"telephone_number": "978-500-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 BLACKBURN CTR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302271",
"telephone_number": "978-281-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "225567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.