Individual provider Active NPI

Debra Dianne Cohan, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1215912878
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000003879 Issued in TN
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4039053OtherBLUE CROSS BLUE SHIELD
4763900000OtherMAGELLAN
4763900000OtherAETNA
3921244MedicaidTN

Other names 1

  • Debra Dianne Cohan Other name

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

LicenseStateTypeSpecialty
LSW0000003879TNMDClinical Social Worker
3879TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.