Provider Demographics
NPI:1356544076
Name:KAUFMAN-COHEN, NANCY A (LCSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:A
Last Name:KAUFMAN-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:FAMILIE FIRST, INC.- ROSE MANNING YOUTH SHELTER
Mailing Address - Street 2:2025 SHERMAN DRIVE
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-603-7475
Mailing Address - Fax:
Practice Address - Street 1:FAMILIE FIRST, INC.- ROSE MANNING YOUTH SHELTER
Practice Address - Street 2:2025 SHERMAN DRIVE
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-603-7475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS160521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical