Provider Demographics
NPI:1225797186
Name:COHEN, UNIQUE MONIA (LSW)
Entity Type:Individual
Prefix:
First Name:UNIQUE
Middle Name:MONIA
Last Name:COHEN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 LIVERPOOL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-1319
Mailing Address - Country:US
Mailing Address - Phone:609-594-7315
Mailing Address - Fax:
Practice Address - Street 1:319 E JIMMIE LEEDS RD STE 225
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4124
Practice Address - Country:US
Practice Address - Phone:609-484-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL065580001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty