Individual provider Active NPI

Tracy L Cohen, LCSWR

  • Social Worker
  • Baldwin, NY
National Provider Identifier
1811100951
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R046351 Issued in NY
Practice address
2504 Grand Ave
Ste 207
Baldwin, NY 11510-3538
Phone
(516) 589-4297
NPI assigned
May 7, 2007
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R046351 NY Primary

Addresses

Primary practice location

2504 Grand Ave
Ste 207
Baldwin, NY 11510-3538

Mailing address

86 W Henrietta Ave
Oceanside, NY 11572-5010
Phone (516) 589-4297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000762 NY Practitioner - Clinical Social Worker 7618159286 Practice locations: Baldwin, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2504 Grand Ave
Suite 207
Baldwin, NY 11510-3538
Phone (516) 589-4297

86 W Henrietta Ave
Oceanside, NY 11572-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046351NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1811100951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W HENRIETTA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725010",
            "telephone_number": "516-589-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GRAND AVE",
            "address_2": "STE 207",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103538",
            "telephone_number": "516-589-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R046351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.