Jordan Alexis Cohen, LCSW
Individual provider Active NPI Clinical Social Worker · Shoreham, NY
NPI 1528348596 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1528348596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 078021 (NY)
- Practice address
- 28 Highland Down
Shoreham, NY 11786-1525 - Phone
- (818) 424-9253
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078021 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 078021 | NY | Yes |
Addresses
Primary practice location
28 Highland Down
Shoreham, NY 11786-1525
Mailing address
28 Highland Down
Shoreham, NY 11786-1525
Other providers in Shoreham, NY
- Chiropractic Health Tactics, PLLC
- Paul John Ciborowski
- Citizens Options Unlimited Inc
- Susan Michele Clancy
- Barbara Clasen
- Brian Connelly
- Joseph William Connolly
- Jack Emanuel Costas Jr.
- Kristin Marie Crimi
- Valerie Ellen Daggett
All providers in Shoreham, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.