Individual ProviderDiane Alaine CohenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address144 Amherst Ave, Waltham, MA 02451-3170(617) 852-1097PECOS EnrollmentBased on the most recent information from CMS, provider Diane Alaine Cohen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1174733679Provider TypeIndividualFull NameCohen, Diane AlaineTitleMs.CredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date5/23/2007Last Updated11/29/2022Contact InformationPractice LocationPractice Address144 Amherst Ave, Waltham, MA 02451-3170Phone(617) 852-1097FaxUnlisted FaxMailing LocationMailing Address144 Amherst Ave, Waltham, MA 02451-3170Phone(617) 852-1097FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense110954MassachusettsProvider IdentifiersIDDescriptionIssuerID501887DescriptionOtherIssuerVALUE OPTIONSMassachusettsID(CO)PO7274DescriptionOtherIssuerBLUE CROSS BLUE SHIELDMassachusettsID412798DescriptionOtherIssuerMAGELLANMassachusettsID1891944DescriptionMedicaidIssuerUnlistedMassachusetts