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NPI Code Detail

MEDICARE: NATASHA CARRIE COHEN LCSW

MEDICARE: NATASHA CARRIE COHEN LCSW
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
11041C0700XClinical Social Worker006293CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111743243OTHERCTCAQH

General Provider Information

NPI Number : 1023212743
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA CARRIE COHEN LCSW
Provider Business Mailing Address
First Line : 439 FARMINGTON AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06105
Country : US
Telephone Number : 860-614-2241
Fax Number :
Provider Business Practice Location Address
First Line : 439 FARMINGTON AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06105-4421
Country : US
Telephone Number : 860-614-2241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ NATASHA CARRIE COHEN LCSW” Practice Location

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