Provider Demographics
NPI:1225183619
Name:COHN, JANE A (LICSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:COHN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 SEARS RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-1706
Mailing Address - Country:US
Mailing Address - Phone:508-358-4114
Mailing Address - Fax:
Practice Address - Street 1:2184 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-1145
Practice Address - Country:US
Practice Address - Phone:781-821-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1106401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA371277OtherMAGELLAN
MA60054OtherAETNA
MA1853139Medicaid
MAP07773OtherBLUE CROSS BLUE SHIELD MA
MA1853139Medicaid