Active NPI
Jill Ilene Cohen
- Social Worker
- Northampton, MA
National Provider Identifier
1841328515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1018773
- Practice address
- 39 Main St
Suite #5
Northampton, MA 01060 - Phone
- (413) 586-4802
- Fax
- (413) 586-5882
- 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 | 1018773 | MA | Primary |
Addresses
Primary practice location
39 Main St
Suite #5
Northampton, MA 01060
Mailing address
39 Main St
Suite #5
Northampton, MA 01060
Phone (413) 586-4802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P05558 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024001115 | MA | Practitioner - Clinical Social Worker | 4385661891 | Practice locations: Northampton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
63 Hawley St
Northampton, MA 01060-3301
Phone (413) 586-4802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018773 | MA | MD | Social Worker |
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": "1841328515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MAIN ST",
"address_2": "SUITE #5",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-586-4802",
"fax_number": "413-586-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 MAIN ST",
"address_2": "SUITE #5",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-586-4802",
"fax_number": "413-586-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JILL",
"middle_name": "ILENE",
"name_prefix": "Ms.",
"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": "MA",
"license": "1018773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P05558",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.