Provider Demographics
NPI:1568270569
Name:COHEN, ELLIOT D (MSW)
Entity type:Individual
Prefix:
First Name:ELLIOT
Middle Name:D
Last Name:COHEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21723 FALL RIVER DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4821
Mailing Address - Country:US
Mailing Address - Phone:772-579-6834
Mailing Address - Fax:
Practice Address - Street 1:2290 10TH AVE N STE 601
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6618
Practice Address - Country:US
Practice Address - Phone:561-823-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical