JENNIFER TARA COHEN BA
NPI 1225507767
Social Worker in New London, CT

Active since November 14, 2018Opted out of Medicare · through Dec 11, 2026
75 GRANITE ST, NEW LONDON, CT 06320(860) 615-9652 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Nov 14, 2018 (2 updates tracked since 2018).

About Jennifer Tara Cohen Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER TARA COHEN BA (NPI 1225507767) is an individual social worker in New London, Connecticut and active in the NPI registry since November 2018. She has opted out of Medicare through December 11, 2026.

NPPES Registry Identity

NPI1225507767
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER TARA COHENCredential: BA
Location Address75 GRANITE STNew London, CT 06320-5770
Mailing AddressPo Box 4Mystic, CT 06355-0004 · (860) 615-9652
Sole ProprietorYes
Enumeration DateNovember 14, 2018
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1225507767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
75 GRANITE ST, New London, CT 06320

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Tara Cohen Ba has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2024 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2024
Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
75 GRANITE ST
NEW LONDON, CT 06320
Social Worker
75 GRANITE ST
NEW LONDON, CT 06320
Social Worker (Clinical)
75 GRANITE ST
NEW LONDON, CT 06320
Social Worker (School)
75 GRANITE ST
NEW LONDON, CT 06320
Social Worker (Clinical)
75 GRANITE ST
NEW LONDON, CT 06320
Marriage & Family Therapist
75 GRANITE ST
NEW LONDON, CT 06320
Nurse Practitioner (Psychiatric/Mental Health)
75 GRANITE ST
NEW LONDON, CT 06320
Nurse Practitioner
75 GRANITE ST
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Cohen's NPI number?

The NPI number for Jennifer Cohen is 1225507767. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Jennifer Cohen located?

Jennifer Cohen practices at 75 Granite St, New London, CT 06320. The listed phone number is (860) 615-9652.

What is Jennifer Cohen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jennifer Cohen enrolled in Medicare?

No. Jennifer Cohen has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Cohen was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.