Provider Demographics
NPI:1013488691
Name:COHEN, DANIEL DAVID (LMSW)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DAVID
Last Name:COHEN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 SAINT PAUL ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2744
Mailing Address - Country:US
Mailing Address - Phone:443-477-5880
Mailing Address - Fax:
Practice Address - Street 1:623 W 34TH ST STE 105
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2658
Practice Address - Country:US
Practice Address - Phone:443-477-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-08
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21782104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker