Provider Demographics
NPI:1518117910
Name:KOHN, HEIDI (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:
Last Name:KOHN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:GETZOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:315 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5018
Mailing Address - Country:US
Mailing Address - Phone:212-533-3570
Mailing Address - Fax:212-780-5559
Practice Address - Street 1:315 E 10TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-5018
Practice Address - Country:US
Practice Address - Phone:212-533-3570
Practice Address - Fax:212-780-5559
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0417861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02772705Medicaid