Provider Demographics
NPI:1154534261
Name:EISENBERG-COHEN, BAILA (LCSW)
Entity type:Individual
Prefix:
First Name:BAILA
Middle Name:
Last Name:EISENBERG-COHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BAILA
Other - Middle Name:
Other - Last Name:EISENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5722 MELVIN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2213
Mailing Address - Country:US
Mailing Address - Phone:917-549-0421
Mailing Address - Fax:412-422-6425
Practice Address - Street 1:200 JHF DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2950
Practice Address - Country:US
Practice Address - Phone:412-904-5286
Practice Address - Fax:412-904-5025
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0156151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical