Provider Demographics
NPI:1992703219
Name:COHEN, JANET (LCSW-C)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 N CHARLES ST
Mailing Address - Street 2:SUITE 137
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6872
Mailing Address - Country:US
Mailing Address - Phone:410-296-7331
Mailing Address - Fax:410-882-5977
Practice Address - Street 1:6525 N CHARLES ST
Practice Address - Street 2:SUITE 137
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6872
Practice Address - Country:US
Practice Address - Phone:410-296-7331
Practice Address - Fax:410-882-5977
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD067951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQS76JOtherCAREFIRST BCBSMD
MDH1390001OtherBLUE CHOICE
MDH1390001OtherDC/BLUECHOICE/FEDERAL
MD206N211GMedicare PIN
MDH1390001OtherDC/BLUECHOICE/FEDERAL