Provider Demographics
NPI:1891082202
Name:COHEN, SHEILA SMITH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:SMITH
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9403
Mailing Address - Country:US
Mailing Address - Phone:303-664-0025
Mailing Address - Fax:303-440-0209
Practice Address - Street 1:1790 30TH STREET
Practice Address - Street 2:SUITE 308
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301
Practice Address - Country:US
Practice Address - Phone:303-440-0205
Practice Address - Fax:303-440-0209
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical