Individual
MS. DIANE ALAINE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
144 AMHERST AVE, WALTHAM, MA 02451-3170
(617) 852-1097
Mailing address
144 AMHERST AVE, WALTHAM, MA 02451-3170
(617) 852-1097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
(CO)PO7274
BLUE CROSS BLUE SHIELD
MA
05
—
1891944
—
MA
01
—
412798
MAGELLAN
MA
01
—
501887
VALUE OPTIONS
MA
Enumeration date
05/23/2007
Last updated
11/29/2022
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