Individual provider Active NPI

Debra J Cohen

  • Clinical Social Worker
  • Tamarac, FL
National Provider Identifier
1952460040
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5407 Issued in FL
Practice address
7481 W Oakland Park Blvd
Ste 100
Tamarac, FL 33319-4985
Phone
(888) 852-6672
Fax
(305) 891-4228
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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 SW 5407 FL Primary

Addresses

Primary practice location

7481 W Oakland Park Blvd
Ste 100
Tamarac, FL 33319-4985

Mailing address

3269 Cocoplum Cir
Coconut Creek, FL 33063-5908
Phone (954) 972-7095

Other identifiers 2

IdentifierTypeStateIssuer
AD261ROtherFLMEDICARE PTAN
026267900MedicaidFL

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
I20070209000209 FL Practitioner - Clinical Social Worker 1759383474 Reassigns benefits to 1 organization
Practice locations: Coconut Creek, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 5407FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc Clinical CurrentSince Mar 21, 2014 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

Interoperability endpoints

  • Direct secure messaging: debracohen@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1952460040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 COCOPLUM CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635908",
            "telephone_number": "954-972-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD",
            "address_2": "STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DEBRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AD261R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026267900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.