Provider Demographics
NPI:1568682532
Name:COHEN, ALBERT (MSW LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7749 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-1646
Mailing Address - Country:US
Mailing Address - Phone:847-966-2149
Mailing Address - Fax:
Practice Address - Street 1:7749 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-1646
Practice Address - Country:US
Practice Address - Phone:847-966-2149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker