Provider Demographics
NPI:1851405773
Name:COHEN, SHEILA L (LCSWC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:L
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 PAULINE DR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3922
Mailing Address - Country:US
Mailing Address - Phone:301-652-0995
Mailing Address - Fax:301-652-5659
Practice Address - Street 1:3200 PAULINE DR
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3922
Practice Address - Country:US
Practice Address - Phone:301-652-0995
Practice Address - Fax:301-652-5659
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06030103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
490421Medicare ID - Type Unspecified