Individual provider Active NPI

Sarah Grace Cochran, MSW, LISW

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1699030080
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801211 Issued in OH
Practice address
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone
(330) 479-2378
Fax
(330) 479-7456
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1801211 OH Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2821 Woodlawn Ave NW
Canton, OH 44708-1423

Mailing address

2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone (330) 479-2378

Other practice location 1

624 Market Ave N
Canton, OH 44702-1017
Phone (330) 454-7066 ext. 384

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

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1699030080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 WOODLAWN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081423",
            "telephone_number": "330-479-2378",
            "fax_number": "330-479-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 WOODLAWN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081423",
            "telephone_number": "330-479-2378",
            "fax_number": "330-479-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Market Ave N",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021017",
            "country_code": "US",
            "telephone_number": "330-454-7066 x384",
            "fax_number": "330-454-9427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "SARAH",
        "middle_name": "GRACE",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801211",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.