Active NPI
Debra Dianne Cohan, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1215912878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000003879
- Practice address
- 6800 Baum Dr
BLDG. 1
Knoxville, TN 37919-7315 - Phone
- (865) 374-7156
- Fax
- (865) 374-7155
- NPI assigned
- Dec 7, 2005
- Last updated
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000003879 | TN | Primary |
Addresses
Primary practice location
6800 Baum Dr
BLDG. 1
Knoxville, TN 37919-7315
Mailing address
6800 Baum Dr
BLDG. 1
Knoxville, TN 37919-7315
Phone (865) 374-7156
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4039053 | Other | BLUE CROSS BLUE SHIELD | |
| 4763900000 | Other | MAGELLAN | |
| 4763900000 | Other | AETNA | |
| 3921244 | Medicaid | TN |
Other names 1
- Debra Dianne Cohan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000003879 | TN | MD | Clinical Social Worker |
| 3879 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Past | Accepting new patients | |
| Methodist Medical Center | Past | Accepting new patients | |
| Healthcare Services Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1215912878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 BAUM DR",
"address_2": "BLDG. 1",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197315",
"telephone_number": "865-374-7156",
"fax_number": "865-374-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 BAUM DR",
"address_2": "BLDG. 1",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197315",
"telephone_number": "865-374-7156",
"fax_number": "865-374-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHAN",
"first_name": "DEBRA",
"middle_name": "DIANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000003879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4039053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "4763900000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4763900000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3921244",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "COHAN",
"middle_name": "DIANNE",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.