Kelle Cochran, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06809 Issued in NM

Practice address

790 Tramway LN NE Apt 9a
Albuquerque, NM 87122-1625

Phone

(505) 440-3611

NPI assigned

May 5, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1982050191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35302",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765302",
            "telephone_number": "505-440-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TRAMWAY LN NE APT 9A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221625",
            "telephone_number": "505-440-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "KELLE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Coca
• Sarah Cocciardi, SLP
• Dominic Coche
• Ashley Cochran, DO, MS
• JC C Cochran, PT
• Paul Cochran, MD
• Tabitha Cochran, CTRS
• Van Cochran, MD
• Linda Cochrum, LPCC
• Dlya Anne Cockrell, M.S. CCC-SLP

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.