Bradley R Cohen, LCSW, CAP, ICADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10950 Issued in FL

Practice address

5400 South University Drive, #119
Davie, FL 33328

Phone

(954) 258-0739

NPI assigned

Sep 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1578813572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SOUTH UNIVERSITY DRIVE, #119",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-258-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 SOUTH UNIVERSITY DRIVE, #119",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-258-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BRADLEY",
        "middle_name": "R",
        "credential": "LCSW, CAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP5125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ICADC126606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Maria Cobos Gonzalez
• Mabel Coca
• Vania Cocchiaro Gualtieri, OTR L
• Norberto Coerezza, DDS
• Cognitive Dissonance Inc
• Darren Cohen, D.O.
• Jocelyn Ann Cohen, CCC-SLP
• Peter Mark Cohen, D.O.
• Elisabeth E Cohn-Gelwasser, M.D.
• Shereda Coke

• Clinical Social Worker in Davie, FL
• Providers in Davie, 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 Oct 14, 2015; 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.