Provider Demographics
NPI:1205018447
Name:JANET COHEN PHD, LCSW-C, PA
Entity Type:Organization
Organization Name:JANET COHEN PHD, LCSW-C, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-296-7331
Mailing Address - Street 1:6525 N CHARLES ST
Mailing Address - Street 2:SUITE 137
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6872
Mailing Address - Country:US
Mailing Address - Phone:410-296-7331
Mailing Address - Fax:410-882-5977
Practice Address - Street 1:6525 N CHARLES ST
Practice Address - Street 2:SUITE 137
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6872
Practice Address - Country:US
Practice Address - Phone:410-296-7331
Practice Address - Fax:410-882-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD067951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH1390001OtherFEDERAL CAREFIRST
MDQS76JOtherCAREFIRST BCBSMD
MDH1390001OtherBLUE CHOICE
MDH1390001OtherFEDERAL CAREFIRST
MDR09789Medicare UPIN