Healthcare Provider Details

I. General information

NPI: 1356544076
Provider Name (Legal Business Name): NANCY A. KAUFMAN-COHEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 AIRPORT BLVD
BURLINGAME CA
94010-1908
US

IV. Provider business mailing address

700 AIRPORT BLVD STE 490
BURLINGAME CA
94010-1945
US

V. Phone/Fax

Practice location:
  • Phone: 650-517-8220
  • Fax:
Mailing address:
  • Phone: 650-517-8220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS16052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: