MEDICARE: MS. MARGARET CALLANAN COHEN R.N., L.C.S.W.C.

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	06031	MD

General Provider Information

NPI Number	:	1871690453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET CALLANAN COHEN R.N., L.C.S.W.C.

Provider Business Mailing Address
First Line	:	711 W 40TH ST STE 321
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-2109
Country	:	US
Telephone Number	:	410-764-0936
Fax Number	:	410-764-0959

Provider Business Practice Location Address
First Line	:	711 W 40TH ST STE 321
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-2109
Country	:	US
Telephone Number	:	410-764-0936
Fax Number	:	410-764-0959

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/08/2007

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