Individual provider Active NPI

Charlene Cochran, LCSW

  • Clinical Social Worker
  • Hazard, KY
National Provider Identifier
1881960953
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3441 Issued in KY
Practice address
390 Park Ave
Hazard, KY 41701-9548
Phone
(910) 742-9243
Fax
(888) 746-1787
NPI assigned
Mar 22, 2012
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 3441 KY Primary

Addresses

Primary practice location

390 Park Ave
Hazard, KY 41701-9548

Mailing address

PO Box 538622
Atlanta, GA 30353-8622
Phone (910) 742-9243

Other practice location 1

18 1/2Virginia Ave
Winchester, KY 40391
Phone (859) 749-0205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000316 KY Practitioner - Clinical Social Worker 6406017300 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC Clinical CurrentSince Jul 30, 2022 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Aug 1, 2019 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Aug 1, 2019 Accepting new patients
The Walker House Inc CurrentSince Sep 1, 2024 Accepting new patients
A Brighter Day Current Accepting new patients
Appalachian Community Supports, LLC Past Accepting new patients

Locations

4250 Glenn Ave
Covington, KY 41015
Phone (859) 371-5731

3802 Turkeyfoot Rd
Erlanger, KY 41018
Phone (859) 342-0200

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

390 Park Ave
Hazard, KY 41701
Phone (606) 439-2306

642 W Main St
Lexington, KY 40508
Phone (859) 310-3567

200 Nursing Home Ln
Pikeville, KY 41501
Phone (606) 639-0163

625 Tech Dr
Winchester, KY 40391
Phone (606) 789-8531

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1881960953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303538622",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019548",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 1/2Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "40391",
            "country_code": "US",
            "telephone_number": "859-749-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.