MEDICARE: LAUREN COHEN LICSW

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	1120715	MA
2	1041C0700X	Clinical Social Worker	228133LCSW	MA
3	106S00000X	Behavior Technician
4	1041C0700X	Clinical Social Worker	LICSW1120715	MA

General Provider Information

NPI Number	:	1932746831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN COHEN LICSW

Provider Business Mailing Address
First Line	:	5101 SANTA MONICA BLVD STE 8
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2480
Country	:	US
Telephone Number	:	857-375-7126
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 SANTA MONICA BLVD STE 8
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2480
Country	:	US
Telephone Number	:	857-375-7126
Fax Number	:

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

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	03/10/2025

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Directions to “ LAUREN COHEN LICSW” Practice Location

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