Individual provider Active NPI

Donna L. Cochran-Harrow, PH.D., LCSW

  • Clinical Social Worker
  • McDonough, GA
National Provider Identifier
1538461652
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005088 Issued in GA
Practice address
821 Pavilion CT Ste F
McDonough, GA 30253-6790
Phone
(678) 759-0285
Fax
(678) 759-0287
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 CSW005088 GA Primary

Addresses

Primary practice location

821 Pavilion CT Ste F
McDonough, GA 30253-6790

Mailing address

821 Pavilion CT
Ste F
McDonough, GA 30253-6790
Phone (404) 932-7853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSW005088GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Life Center, LLC PastSince Oct 21, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1538461652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PAVILION CT",
            "address_2": "STE F",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536790",
            "telephone_number": "404-932-7853",
            "fax_number": "678-583-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PAVILION CT STE F",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536790",
            "telephone_number": "678-759-0285",
            "fax_number": "678-759-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN-HARROW",
        "first_name": "DONNA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.