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NPI Code Detail

MEDICARE: SARAH ROSE COHEN M.S.W., L.C.S.W.

MEDICARE: SARAH ROSE COHEN M.S.W., L.C.S.W.
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 WorkerLCS17125CA

General Provider Information

NPI Number : 1750535753
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ROSE COHEN M.S.W., L.C.S.W.
Provider Business Mailing Address
First Line : 1057 MACARTHUR BLVD STE 208
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-3014
Country : US
Telephone Number : 510-220-3391
Fax Number :
Provider Business Practice Location Address
First Line : 1266 14TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2247
Country : US
Telephone Number : 510-273-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 10/29/2020

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