Active NPI
Kennedy Danielle Cochems, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1467042333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW39328
- Practice address
- 2995 N Cole Rd Ste 270
Boise, ID 83704-5991 - Phone
- (208) 576-6464
- NPI assigned
- Jan 24, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW39328 | ID | Primary |
Addresses
Primary practice location
2995 N Cole Rd Ste 270
Boise, ID 83704-5991
Mailing address
2631 S Inglewood Rd
Boise, ID 83705-4535
Phone (082) 907-2385
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BOISE | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW39328 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molly and Me Counseling and Training Center | Current | Accepting new patients |
Locations
2995 N Cole Rd
Ste 270
Boise, ID 83704
Phone (208) 336-4504
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1194268169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1467042333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 S INGLEWOOD RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837054535",
"telephone_number": "082-907-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 N COLE RD STE 270",
"city": "BOISE",
"state": "ID",
"postal_code": "837045991",
"telephone_number": "208-576-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHEMS",
"first_name": "KENNEDY",
"middle_name": "DANIELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2024-08-07",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW39328",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BOISE",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "BOISE",
"address_1": "2995 N Cole Rd Ste 270",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837045991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.