Healthcare Provider Details

I. General information

NPI: 1215861653
Provider Name (Legal Business Name): DANIEL COHEN PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SULGRAVE AVE STE 311
BALTIMORE MD
21209-3651
US

IV. Provider business mailing address

1321 EUTAW PL APT B
BALTIMORE MD
21217-3696
US

V. Phone/Fax

Practice location:
  • Phone: 443-477-5880
  • Fax:
Mailing address:
  • Phone: 443-477-4880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DANIEL COHEN
Title or Position: THERAPIST
Credential: LCSW-C
Phone: 443-477-5880