Active NPI
Andrea C Cohen, LCSW
- Social Worker
- Corning, NY
National Provider Identifier
1740318385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 061773-1
- Practice address
- 77 E 1St St
Corning, NY 14830-2715 - Phone
- (607) 936-1771
- Fax
- (607) 936-2648
- NPI assigned
- Mar 2, 2007
- 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 | 061773-1 | NY | Primary |
Addresses
Primary practice location
77 E 1St St
Corning, NY 14830-2715
Mailing address
77 E 1St St
Corning, NY 14830-2715
Phone (607) 936-1771
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 |
|---|---|---|---|
| 061773-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erwin Psychiatric NP PLLC | Past | Accepting new patients | |
| Pathways, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Corning, NY
- NPI 1639939069
-
- Social Worker
- Corning, NY
- NPI 1396896486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740318385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 E 1ST ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302715",
"telephone_number": "607-936-1771",
"fax_number": "607-936-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 E 1ST ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302715",
"telephone_number": "607-936-1771",
"fax_number": "607-936-2648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "ANDREA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "061773-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.