Individual provider Active NPI

Kenneth Mitchell Cohen, LCSW

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1952431603
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2432 Issued in FL
Practice address
16244 S Miltary TR
325
Delray Beach, FL 33484
Phone
(561) 499-6716
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

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 SW2432 FL Primary

Addresses

Primary practice location

16244 S Miltary TR
325
Delray Beach, FL 33484

Mailing address

21634 Sonoma CT
Boca Raton, FL 33433-1001
Phone (561) 499-6716

Other identifiers 1

IdentifierTypeStateIssuer
SW2432OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120221000178 FL Practitioner - Clinical Social Worker 8123286291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Irl L Extein MD PAGroup PAC ID 3678697703, 3 clinicians

Practice addresses (Care Compare)

16244 S Military Trail
Suite 325
Delray BCH, FL 33484-6505
Phone (561) 499-6716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2432FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Irl L Extein MD PA CurrentSince Aug 1, 1995 Accepting new patients

Locations

16244 S Military Trl
Ste 325
Delray Beach, FL 33484
Phone (561) 499-6716

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952431603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21634 SONOMA CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331001",
            "telephone_number": "561-499-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILTARY TR",
            "address_2": "325",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-499-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KENNETH",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW2432",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.