Provider Demographics
NPI:1639388713
Name:DAVIDOVSKY, GILA COHE (LCSW)
Entity Type:Individual
Prefix:
First Name:GILA
Middle Name:COHE
Last Name:DAVIDOVSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GILA
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1742 WINDSOR ROAD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-873-5162
Mailing Address - Fax:201-833-2315
Practice Address - Street 1:1742 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3017
Practice Address - Country:US
Practice Address - Phone:201-873-5162
Practice Address - Fax:201-833-2315
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC0495551041C0700X
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical