Provider Demographics
NPI:1013183920
Name:KOHN, DINA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DINA
Middle Name:
Last Name:KOHN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 W 117TH ST
Mailing Address - Street 2:7G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:279 W 117TH ST
Practice Address - Street 2:7G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2109
Practice Address - Country:US
Practice Address - Phone:917-536-3486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR069465-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical