Individual provider Active NPI

Cynthia M Cochran, LCSW

  • Clinical Social Worker
  • Winter Haven, FL
National Provider Identifier
1740488873
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1107 3Rd St SW Ste 9
Winter Haven, FL 33880-3912
Phone
(863) 292-6089
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2022036829 MO
Clinical Social Worker 1041C0700X 8409 TN
Clinical Social Worker 1041C0700X SW12768 FL
Clinical Social Worker 1041C0700X CSW09929962 CO
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1107 3Rd St SW Ste 9
Winter Haven, FL 33880-3912

Mailing address

1107 3Rd St SW Ste 9
Winter Haven, FL 33880-3912
Phone (863) 292-6089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, FL, TN, CO5 enrollments
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.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240808004005 KS Practitioner - Clinical Social Worker 9032656970 Reassigns benefits to 1 organization
I20240808004144 MO Practitioner - Clinical Social Worker 9032656970 Reassigns benefits to 1 organization
I20240809002965 FL Practitioner - Clinical Social Worker 9032656970 Reassigns benefits to 1 organization
I20240813002320 TN Practitioner - Clinical Social Worker 9032656970 Reassigns benefits to 2 organizations
I20240930004036 CO Practitioner - Clinical Social Worker 9032656970 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
CSW09929962COMDClinical Social Worker
8409TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Jul 2, 2024 Accepting new patients
Kidney Care Center of Winter Haven LLC CurrentSince Dec 3, 2023 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Sep 15, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 2, 2024 Accepting new patients

Locations

600 17th St
Ste 2610S
Denver, CO 80202

169 Inverness Dr W
Ste 400
Englewood, CO 80112
Phone (303) 518-8344

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1107 3rd St SW
Ste 9
Winter Haven, FL 33880
Phone (863) 292-6089

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

162 Market Place Blvd
#D
Knoxville, TN 37922
Phone (865) 212-6600

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 6

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1740488873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 3RD ST SW STE 9",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803912",
            "telephone_number": "863-292-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 3RD ST SW STE 9",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803912",
            "telephone_number": "863-292-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022036829",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8409",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09929962",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.