Provider Demographics
NPI:1386870947
Name:COHEN-HAYNES, CARA LINDSAY (LMSW)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:LINDSAY
Last Name:COHEN-HAYNES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:LINDSAY
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 TROTTER DR
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9725
Mailing Address - Country:US
Mailing Address - Phone:585-690-3877
Mailing Address - Fax:585-922-0240
Practice Address - Street 1:309 UPPER FALLS BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-2105
Practice Address - Country:US
Practice Address - Phone:585-690-3877
Practice Address - Fax:585-922-0240
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY089196OtherLICENSE