| Amy Cohen, Lisw-llc | |
|
9403 Kenwood Rd Blue Ash OH 45242-6895 | |
| (513) 489-8600 | |
| (513) 489-0123 |
| Full Name | Amy Cohen, Lisw-llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9403 Kenwood Rd, Blue Ash, Ohio |
| Authorized Official Name and Position | Liann Seale (OFFICE MANAGER) |
| Authorized Official Contact | 5134898600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Cohen, Lisw-llc 9403 Kenwood Rd Blue Ash OH 45242-6895 Ph: (513) 489-8600 | Amy Cohen, Lisw-llc 9403 Kenwood Rd Blue Ash OH 45242-6895 Ph: (513) 489-8600 |
| NPI Number | 1417446600 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 6608131909 |
|---|---|
| Medicare Enrollment ID | O20180606002839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417446600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I7693 (Ohio) | Primary |
| Provider Name | Amy Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063697613 PECOS PAC ID: 5294090593 Enrollment ID: I20180606003192 |
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