Provider Demographics
NPI:1558659680
Name:COHEN, RACHEL S (LICSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:S
Other - Last Name:COLANGELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:20 WINTER STREET
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359
Mailing Address - Country:US
Mailing Address - Phone:781-312-1393
Mailing Address - Fax:781-829-6902
Practice Address - Street 1:20 WINTER STREET
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359
Practice Address - Country:US
Practice Address - Phone:781-312-1393
Practice Address - Fax:781-829-6902
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program