Provider Demographics
NPI:1558458075
Name:COHN-ROSENBERG, LINDA (MSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:COHN-ROSENBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 STILES RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2899
Mailing Address - Country:US
Mailing Address - Phone:603-893-7700
Mailing Address - Fax:603-893-7331
Practice Address - Street 1:87 STILES RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2899
Practice Address - Country:US
Practice Address - Phone:603-893-7700
Practice Address - Fax:603-893-7331
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7306Medicare ID - Type UnspecifiedMEDICARE NUMBER