Individual provider Active NPI

Brenda Cochran, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1295188571
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11933 Issued in AZ
Practice address
14240 N 43Rd Ave
Glendale, AZ 85306-4511
Phone
(602) 866-8850
NPI assigned
Jul 21, 2016
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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 11933 AZ Primary

Addresses

Primary practice location

14240 N 43Rd Ave
Glendale, AZ 85306-4511

Mailing address

14240 N 43Rd Ave
Glendale, AZ 85306-4511
Phone (602) 866-8850

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11933AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads, Inc Pure Heart Counseling Center CurrentSince Jan 17, 2021 Accepting new patients
Alliance Client Services of Arizona PastSince Sep 5, 2021 Accepting new patients
Alliance Client Services PastSince Mar 5, 2023 Accepting new patients
Zoe Integrated Health Clinical Past Accepting new patients

Locations

14240 N 43rd Ave
Glendale, AZ 85306
Phone (602) 291-4837

Organizations & group practices 4

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1295188571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064511",
            "telephone_number": "602-866-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14240 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064511",
            "telephone_number": "602-866-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "BRENDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "11933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.