Individual provider Active NPI

Melissa Noel Cochran, LCSW

  • Social Worker
  • Dumas, AR
National Provider Identifier
1114310133
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12433-C Issued in AR
Practice address
811 US-65
Dumas, AR 71639
Phone
(870) 382-4303
Fax
(870) 382-4303
NPI assigned
Mar 16, 2015
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12433-C AR Primary
Social Worker 104100000X 6439805-3502 UT

Addresses

Primary practice location

811 US-65
Dumas, AR 71639

Mailing address

811 US-65
Dumas, AR 71639
Phone (870) 382-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000902 AR Practitioner - Clinical Social Worker 0143690065 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6439805-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital CurrentSince Jan 23, 2023 Accepting new patients
Delta Memorial Hospital CurrentSince Jan 23, 2023 Accepting new patients

Locations

103 W Waterman St
Dumas, AR 71639
Phone (870) 377-9220

803 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4400

811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1114310133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 US-65",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-4303",
            "fax_number": "870-382-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 US-65",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-4303",
            "fax_number": "870-382-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "MELISSA",
        "middle_name": "NOEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "12433-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "6439805-3502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, AR

Sources for this page

Verify at the official NPI Registry.