Stephanie R Cockrell, PHD

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150113535 Issued in IL

Practice address

1803 Philo Rd
Urbana, IL 61802-6015

Phone

(773) 340-2465

NPI assigned

Mar 18, 2026

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Well Experience

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbana, IL
  • NPI 1164315511
  NPD Authorized official

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1619825387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026015",
            "telephone_number": "773-340-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026015",
            "telephone_number": "773-340-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150113535",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Marie Clements, OTA/L
• Lena Marie Clements, CRNA
• Paige Cler, NP
• Caitlin Cleveland, OTD
• Dawn M. Cluver, LCSW, ACSW
• Cognition Works, Inc
• Amy Paige Cohen, PH.D.
• Philip Cohen, LCSW
• Timothy Aaron Cole, PHARMD
• Diamond R Coleman

• Social Worker in Urbana, IL
• Providers in Urbana, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.