Individual provider Active NPI

Larry Ira Cohen, L.I.C.S.W.

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1891824124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC00302236 Issued in DC
Practice address
4808 43Rd PL NW
Washington, DC 20016-4502
Phone
(202) 244-0903
Fax
(202) 244-4517
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC00302236 DC Primary

Addresses

Primary practice location

4808 43Rd PL NW
Washington, DC 20016-4502

Mailing address

4808 43Rd PL NW
Washington, DC 20016-4502
Phone (202) 244-0903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101108000931 DC Practitioner - Clinical Social Worker 9537354246 Practice locations: Washington, DC

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)

4808 43Rd PL NW
Washington, DC 20016-4502
Phone (202) 244-0903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC00302236DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891824124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 43RD PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164502",
            "telephone_number": "202-244-0903",
            "fax_number": "202-244-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 43RD PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164502",
            "telephone_number": "202-244-0903",
            "fax_number": "202-244-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LARRY",
        "middle_name": "IRA",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC00302236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.