Provider Demographics
NPI:1740653724
Name:KOHN, DAVID (LCSW LAC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KOHN
Suffix:
Gender:M
Credentials:LCSW LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 EATON ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-2213
Mailing Address - Country:US
Mailing Address - Phone:914-772-7693
Mailing Address - Fax:
Practice Address - Street 1:1525 RALEIGH ST STE 500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1594
Practice Address - Country:US
Practice Address - Phone:303-872-1735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0002123101YA0400X
COCSW.099293501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)