Individual provider Active NPI

Mark Cohen, DSW,MSW

  • Mental Health Counselor
  • Rockville Centre, NY
National Provider Identifier
1942477880
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW PR020617 Issued in NY
Practice address
43 Park LN
Suite 1
Rockville Centre, NY 11570-1831
Phone
(516) 536-1570
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW PR020617 NY Primary

Addresses

Primary practice location

43 Park LN
Suite 1
Rockville Centre, NY 11570-1831

Mailing address

43 Park LN
Rockville Centre, NY 11570-1831
Phone (516) 536-1570

Other names 1

  • Mark Cohen, DSW, PC Professional name

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
I20180329001651 NY Practitioner - Clinical Social Worker 5799047841 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 W 57TH St
Suite 501
New York, NY 10107-0500
Phone (413) 528-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW PR020617NYMDMental Health Counselor
020617NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1942477880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PARK LN",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701831",
            "telephone_number": "516-536-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PARK LN",
            "address_2": "SUITE 1",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701831",
            "telephone_number": "516-536-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DSW,MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "LCSW PR020617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "COHEN, DSW, PC",
            "credential": "DSW, MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.