MEDICARE: MRS. ALANA SUSAN COHEN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW 10905	FL

General Provider Information

NPI Number	:	1255689006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALANA SUSAN COHEN LCSW

Provider Business Mailing Address
First Line	:	21660 BIRCH STATE PARK WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1743
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21660 BIRCH STATE PARK WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1743
Country	:	US
Telephone Number	:	561-239-1425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	08/28/2012

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