Provider Demographics
NPI:1407911407
Name:CAHN, MARILYN S (LCSW)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:S
Last Name:CAHN
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:PO BOX 816702
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-0702
Mailing Address - Country:US
Mailing Address - Phone:954-966-5151
Mailing Address - Fax:954-966-9330
Practice Address - Street 1:3700 WASHINGTON ST
Practice Address - Street 2:SUITE 304
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8256
Practice Address - Country:US
Practice Address - Phone:954-961-1500
Practice Address - Fax:954-961-7942
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW35611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5975Medicare ID - Type UnspecifiedPROVIDER IDENT. NUMBER