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

Sex

Female

Sole proprietor

No

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.

• Region 12 Commission on Mental Health and Retardation

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2022.

{
    "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

• All providers in Moselle, MS
• 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.