Provider Demographics
NPI:1962424366
Name:COHEN, LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3556 WESLEY ST
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2433
Mailing Address - Country:US
Mailing Address - Phone:310-535-9334
Mailing Address - Fax:310-204-4134
Practice Address - Street 1:3556 WESLEY ST
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2433
Practice Address - Country:US
Practice Address - Phone:310-535-9334
Practice Address - Fax:310-204-4134
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASW161711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical