Healthcare Provider Details

I. General information

NPI: 1053568907
Provider Name (Legal Business Name): BEVERLY ANNE KOLSKY MSW, LCSW, BCD-P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BEVERLY ANNE COHEN MSW, LCSW

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 ENGLE ST. BLDG 5
ENGLEWOOD NJ
07631
US

IV. Provider business mailing address

163 ENGLE ST. BLDG 5
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-5499
  • Fax: 201-692-9219
Mailing address:
  • Phone: 201-894-5499
  • Fax: 201-692-9219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number44SC00196100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: