Cassie Cochran

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M9777 Issued in MS

Practice address

3 Clearview Cir
Moselle, MS 39459-9520

Phone

(601) 544-1499

Fax

(601) 544-8464

NPI assigned

May 6, 2022

Last updated

May 6, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Region 12 Commission on Mental Health and Retardation

  dba Clearview Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Moselle, MS
  • NPI 1982612206
  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1972249506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18679",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048679",
            "telephone_number": "601-705-1901",
            "fax_number": "601-705-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CLEARVIEW CIR",
            "city": "MOSELLE",
            "state": "MS",
            "postal_code": "394599520",
            "telephone_number": "601-544-1499",
            "fax_number": "601-544-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "CASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M9777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Fondshay Broome, CNA
• Carol Brown, CMHT
• Alayna Bryant, LPC
• Andrea C Buckley, BSN
• Jessica Chaney, CAT
• Melissa Cochran, CAT
• Jared Craft, CPSS
• Grayson Creek Medical Clinic, LLC
• Stephanie Harris, CPSS
• Lauryn Hicks, FNP-C

• Social Worker in Moselle, MS
• Providers in Moselle, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.