Individual provider · Type 1 NPI

Dominique Cochran, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1174320766 Active

Practice location

4505 S Drexel Blvd
Chicago, IL 60653-4301

Call (773) 285-0550 Map

Mailing address

9748 S Harvard Ave
Chicago, IL 60628-1205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.028821 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174320766

Dominique Cochran, LCSW's National Provider Identifier is 1174320766, issued on Feb 28, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 28, 2025.