Provider Demographics
NPI:1477798171
Name:COHEN, ANNA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:COHEN
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 1:509 2ND ST
Mailing Address - Street 2:SUITE #4R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2672
Mailing Address - Country:US
Mailing Address - Phone:718-832-5304
Mailing Address - Fax:
Practice Address - Street 1:509 2ND ST
Practice Address - Street 2:SUITE #4R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2672
Practice Address - Country:US
Practice Address - Phone:718-832-5304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health