Healthcare Provider Details

I. General information

NPI: 1245188820
Provider Name (Legal Business Name): LINDSAY COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 IVANHOE DR
COLORADO SPRINGS CO
80911-1048
US

IV. Provider business mailing address

2505 IVANHOE DR
COLORADO SPRINGS CO
80911-1048
US

V. Phone/Fax

Practice location:
  • Phone: 719-499-6372
  • Fax:
Mailing address:
  • Phone: 719-499-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09929489
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: