Provider Demographics
NPI:1710795125
Name:COHEN, VERA (LMSW)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:COHEN
Suffix:
Gender:U
Credentials:LMSW
Other - Prefix:
Other - First Name:JED
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:297 TOMPKINS AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1221
Mailing Address - Country:US
Mailing Address - Phone:917-270-1348
Mailing Address - Fax:
Practice Address - Street 1:80 5TH AVE RM 906
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8018
Practice Address - Country:US
Practice Address - Phone:646-460-0097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124553104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker