Active NPI
Nicky Woodrow Cohen, M ED LMSW
- Clinical Social Worker
- Chesterfield, SC
National Provider Identifier
1881706901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2632
- Practice address
- 207 Commerce Avenue
Chesterfield, SC 25709 - Phone
- (843) 623-2229
- Fax
- (843) 623-2553
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2632 | SC | Primary |
Addresses
Primary practice location
207 Commerce Avenue
Chesterfield, SC 25709
Mailing address
PO Box 471
Chesterfield, SC 29709
Phone (843) 623-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405127 | Medicaid | SC |
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 |
|---|---|---|---|
| 2632 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba Tricounty Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bennetsville, SC
- NPI 1609979640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881706901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "29709",
"telephone_number": "843-623-2229",
"fax_number": "843-623-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 COMMERCE AVENUE",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "25709",
"telephone_number": "843-623-2229",
"fax_number": "843-623-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "NICKY",
"middle_name": "WOODROW",
"name_prefix": "Mr.",
"credential": "M ED LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "2632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405127",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, SC
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.