Provider Demographics
NPI:1962520981
Name:COHEN, LEAH (ASW, PPSC)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:ASW, PPSC
Other - Prefix:MISS
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:MAXWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, PPSC
Mailing Address - Street 1:1889 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-2166
Mailing Address - Country:US
Mailing Address - Phone:650-796-9819
Mailing Address - Fax:
Practice Address - Street 1:1889 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-2166
Practice Address - Country:US
Practice Address - Phone:650-796-9819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1058061041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool